Organization Active NPI

The Kidney Clinic PLLC

  • Nephrology Physician
  • Conroe, TX
National Provider Identifier
1689547036
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
THE KIDNEY CLINIC PLLC
Practice address
3115 College Park Dr Ste 103C
Conroe, TX 77384-4001
Phone
(936) 271-3400
Fax
(855) 538-3107
NPI assigned
Sep 23, 2025
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Harini Pal Bejjanki, MDNPI 1508152190
Title
President
Phone
(936) 271-3400

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 Physician 207RN0300X NU Primary

Addresses

Primary practice location

3115 College Park Dr Ste 103C
Conroe, TX 77384-4001

Mailing address

3115 College Park Dr Ste 103C
The Woodlands, TX 77384-4001
Phone (936) 271-3400

Other practice location 1

9851 Fm 1097 Rd W Ste 120
Willis, TX 77318-5852
Phone (936) 271-3400 ext. 58467

Other practice location 2

119 Medical Park Ln Ste C
Huntsville, TX 77340-4980
Phone (936) 271-3400 ext. 58467

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260120003262 TX Part B Supplier - Clinic/Group Practice 7517444698 Receives reassigned benefits from 2 practitioners
Practice locations: Huntsville, TX; The Woodlands, TX; Willis, 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
45D2335395Kidney Clinic PLLC, the3115 College Park Dr Ste 103C, Conroe, TX 77384Provider-performed microscopyDec 9, 2027

National Provider Directory

National Provider Directory

Locations

3115 College Park Dr
Ste 103C
The Woodlands, TX 77384
Phone (936) 271-3400

Practitioners & affiliated clinicians

Practitioners 2

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": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1689547036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR STE 103C",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-271-3400",
            "fax_number": "855-538-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR STE 103C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-271-3400",
            "fax_number": "855-538-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9851 Fm 1097 Rd W Ste 120",
            "address_purpose": "LOCATION",
            "city": "Willis",
            "state": "TX",
            "postal_code": "773185852",
            "country_code": "US",
            "telephone_number": "936-271-3400 x58467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Medical Park Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404980",
            "country_code": "US",
            "telephone_number": "936-271-3400 x58467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE KIDNEY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "BEJJANKI",
        "authorized_official_first_name": "HARINI",
        "authorized_official_middle_name": "PAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-271-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.