Organization Active NPI

Renal Specialists of North Texas PLLC

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1619449402
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL SPECIALISTS OF NORTH TEXAS PLLC
Practice address
3125 Matlock Rd Ste 107
Arlington, TX 76015-2905
Phone
(817) 899-8109
NPI assigned
Dec 18, 2018
Last updated
Jun 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vineeth Chemparathy
Title
Billing Manager
Phone
(888) 212-4243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

3125 Matlock Rd Ste 107
Arlington, TX 76015-2905

Mailing address

PO Box 92
Shannon, AL 35142-0092
Phone (888) 212-4243

Other practice location 1

2605 Highland Park Ct
Colleyville, TX 76034-5354
Phone (888) 212-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190123002566 TX Part B Supplier - Clinic/Group Practice 0446597850 Receives reassigned benefits from 4 practitioners
Practice locations: Flower Mound, TX; Fort Worth, TX; Grand Prairie, TX; Grapevine, TX; Lewisville, TX; Mansfield, TX; North Richland Hills, TX; Colleyville, TX…

National Provider Directory

National Provider Directory

Locations

203 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 275-7787

3125 Matlock Rd
Ste 106
Arlington, TX 76015

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

267 N State Highway 360
Mansfield, TX 76063
Phone (817) 778-9361

309 Regency Pkwy
Ste 207
Mansfield, TX 76063
Phone (817) 225-2716

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEGBD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1619449402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "SHANNON",
            "state": "AL",
            "postal_code": "351420092",
            "telephone_number": "888-212-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MATLOCK RD STE 107",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152905",
            "telephone_number": "817-899-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 Highland Park Ct",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760345354",
            "country_code": "US",
            "telephone_number": "888-212-4243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAL SPECIALISTS OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "CHEMPARATHY",
        "authorized_official_first_name": "VINEETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "888-212-4243"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.