Organization Active NPI

North Texas Nephrology Associates PA

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1629107404
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTH TEXAS NEPHROLOGY ASSOCIATES PA
Practice address
1132 S Bowen Rd
Arlington, TX 76013-2204
Phone
(817) 265-9700
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Michael D Jameson, M.DNPI 1306895347
Title
Physician
Phone
(817) 265-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1132 S Bowen Rd
Arlington, TX 76013-2204

Mailing address

1132 S Bowen Rd
Arlington, TX 76013-2204
Phone (817) 265-9700

Other practice location 1

1600 Lancaster Dr Ste 103
Grapevine, TX 76051-3579
Phone (817) 571-1417

Other practice location 2

350 Westpark Way Ste 111
Euless, TX 76040-3729
Phone (817) 571-1417

Other identifiers 3

IdentifierTypeStateIssuer
CK6724OtherRAILROAD MEDICARE
082705701MedicaidTX
00G62LOtherTXMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040612000428 TX Part B Supplier - Clinic/Group Practice 7214910850 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington, TX; Grapevine, TX; Euless, TX; Bedford, TX

National Provider Directory

National Provider Directory
Tax ID family
North Texas Nephrology Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1132 S Bowen Rd
Arlington, TX 76013
Phone (817) 265-9700

132 Lincoln Sq
Arlington, TX 76011
Phone (817) 265-9700

1600 Central Dr
Bedford, TX 76022
Phone (469) 788-8288

1600 Central Dr
#131
Bedford, TX 76022
Phone (817) 265-9700

1600 Lancaster Dr
Grapevine, TX 76051

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1629107404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132204",
            "telephone_number": "817-265-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760132204",
            "telephone_number": "817-265-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Lancaster Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513579",
            "country_code": "US",
            "telephone_number": "817-571-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Westpark Way Ste 111",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403729",
            "country_code": "US",
            "telephone_number": "817-571-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-265-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6724",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082705701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00G62L",
            "state": "TX"
        }
    ],
    "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 Jan 8, 2025; 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.