Organization Active NPI

North Houston Kidney Associates

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1679711634
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTH HOUSTON KIDNEY ASSOCIATES
Practice address
12834 Willow Centre Dr Ste E
Houston, TX 77066-3047
Phone
(281) 580-9100
Fax
(281) 580-9577
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Amir A G MemonNPI 1447231295
Title
Director
Phone
(281) 580-9100

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

12834 Willow Centre Dr Ste E
Houston, TX 77066-3047

Mailing address

12834 Willow Centre Dr Ste E
Houston, TX 77066-3047
Phone (281) 580-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090316000672 TX Part B Supplier - Clinic/Group Practice 2567529746 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

20180 Chasewood Park Dr
Houston, TX 77070
Phone (281) 205-5025

13325 Hargrave Rd
Ste 100B
Houston, TX 77070

150 Pine Forest Dr
Ste 101
Shenandoah, TX 77384
Phone (832) 610-2822

Interoperability endpoints

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

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": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1679711634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12834 WILLOW CENTRE DR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663047",
            "telephone_number": "281-580-9100",
            "fax_number": "281-580-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12834 WILLOW CENTRE DR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663047",
            "telephone_number": "281-580-9100",
            "fax_number": "281-580-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOUSTON KIDNEY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-580-9100"
    },
    "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 Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.