Organization Active NPI

Lonestar Nephrology Care PLLC

Doing business as Texas Renal Care

  • Nephrology Physician
  • McKinney, TX
National Provider Identifier
1679128417
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
LONESTAR NEPHROLOGY CARE PLLC
Doing business as
Texas Renal Care
Practice address
4833 Medical Center Dr BLDG 6B
McKinney, TX 75069-1898
Phone
(972) 847-6969
Fax
(972) 542-5482
NPI assigned
Aug 8, 2019
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Salman Saeed Butt, MDNPI 1760664585
Title
Owner of Entity
Phone
(972) 547-6969

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 Primary

Addresses

Primary practice location

4833 Medical Center Dr BLDG 6B
McKinney, TX 75069-1898

Mailing address

4833 Medical Center Dr BLDG 6B
McKinney, TX 75069-1898
Phone (972) 847-6969

Other practice location 1

4309 Ridgecrest Rd Ste 150
Greenville, TX 75402-6008
Phone (972) 547-6969

Other identifiers 1

IdentifierTypeStateIssuer
411337501MedicaidTX

Other names 1

  • TEXAS RENAL CARE Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address salman.butt@directfalconehr.davita.com Health Information Exchange (HIE)
Direct Messaging Address adeel.ijaz@directfalconehr.davita.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930002936 TX Part B Supplier - Clinic/Group Practice 2769712066 Receives reassigned benefits from 3 practitioners
Practice locations: McKinney, TX; Greenville, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2269511Texas Renal Care - McKinney4833 Medical Center Dr Suite 6B, McKinney, TX 75069Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lonestar Nephrology Care2 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

4309 Ridgecrest Rd
Ste 150
Greenville, TX 75402
Phone (888) 634-3575

4833 Medical Center Dr
Bldg 6B
McKinney, TX 75069
Phone (972) 547-6969

Practitioners & affiliated clinicians

Practitioners 3

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": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1679128417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 MEDICAL CENTER DR BLDG 6B",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691898",
            "telephone_number": "972-847-6969",
            "fax_number": "972-542-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 MEDICAL CENTER DR BLDG 6B",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691898",
            "telephone_number": "972-847-6969",
            "fax_number": "972-542-5482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 Ridgecrest Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754026008",
            "country_code": "US",
            "telephone_number": "972-547-6969",
            "fax_number": "972-542-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONESTAR NEPHROLOGY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_middle_name": "SAEED",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "972-547-6969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411337501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salman.butt@directfalconehr.davita.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4201 Medical Center Dr Ste 240",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750691766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adeel.ijaz@directfalconehr.davita.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4201 Medical Center Dr Ste 240",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750691766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TEXAS RENAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.