Organization Active NPI

Nephrology Associates PA

  • Nephrology Physician
  • The Woodlands, TX
National Provider Identifier
1669494563
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1968 Issued in KY
Legal business name
NEPHROLOGY ASSOCIATES PA
Practice address
1120 Medical Plaza Drive
Suite 310
The Woodlands, TX 77380
Phone
(832) 813-8074
Fax
(832) 813-8076
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Mr. Shahzeb Raza Naqvi, M.D.NPI 1346287448
Title
Owner
Phone
(832) 813-8074

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X M1968 KY Primary

Addresses

Primary practice location

1120 Medical Plaza Drive
Suite 310
The Woodlands, TX 77380

Mailing address

1120 Medical Plaza Drive
Suite 310
The Woodlands, TX 77380
Phone (832) 813-8074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000247 TX Part B Supplier - Clinic/Group Practice 5799781522 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX; Huntsville, TX; Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

116 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (832) 813-8074

Practitioners & affiliated clinicians

Practitioners 1

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1669494563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 310",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "832-813-8074",
            "fax_number": "832-813-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 310",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "832-813-8074",
            "fax_number": "832-813-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "SHAHZEB",
        "authorized_official_middle_name": "RAZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-813-8074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "M1968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.