Aqua Dialysis Lufkin LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

AQUA DIALYSIS LUFKIN LLC

Practice address

700 S John Redditt Dr
Lufkin, TX 75904-3145

Phone

(936) 634-2224

Fax

(936) 632-0764

NPI assigned

Feb 10, 2020

Organization subpart

Yes

Parent organization

AQUA DIALYSIS LLPAs reported in NPPES

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

Authorized official

Name

Rupal Patel, MD

Title

Ceo

Phone

(832) 721-2927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

aQua Dialysis Lufkin LLCCCN 452639

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 23, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

27

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mario Assouad, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1588767503
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Prashant Kumar, M.D.

  • Specialist
  • Lufkin, TX
  • NPI 1427087071

  Dialysis facility

  Care Compare affiliation Name & address match
• Imran Nazeer, M.D.

  • Specialist
  • Lufkin, TX
  • NPI 1477582039

  Dialysis facility

  Care Compare affiliation Name & address match
• Lance A Sloan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lufkin, TX
  • NPI 1588665228

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1629600408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SOUTHRIDGE CT STE 103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534390",
            "telephone_number": "682-429-4508",
            "fax_number": "346-214-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043145",
            "telephone_number": "936-634-2224",
            "fax_number": "936-632-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA DIALYSIS LUFKIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AQUA DIALYSIS LLP",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-721-2927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony P Noreiga DPM PA
• Theresa Leigh Anthony, LCDC
• Ifeoma Gloria Anugwom, PHARMD
• Apl Med PLLC
• Aqua Dialysis Frank Avenue, LLC
• Argosy Mental Health Services P a
• Sheri Hoyler Arndt, PHARMD
• Michael Laverne Arnold, MD FACOG
• Sushma Arramraju, M.D
• Karla Ashabranner, MED CCC/SLP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.