Central Texas Kidney Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CENTRAL TEXAS KIDNEY ASSOCIATES

Practice address

408 W 45TH St
Austin, TX 78751-3014

Phone

(512) 451-5800

Fax

(512) 451-5800

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Donnelly, ADM

Title

Adm

Phone

(512) 451-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CENTRAL TEXAS KIDNEY ASSOCIATES Former legal business name

Locations

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.

• Teresa Ann Kacerguis, APRN, ACNS-BC

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1043575806
  NPD (past)
• David Vadala

  • Nephrology Physician
  • Austin, TX
  • NPI 1740776897
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1700816923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-451-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-451-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS KIDNEY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "512-451-5800",
        "authorized_official_credential": "ADM"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00R28H",
            "identifier": "1700816923",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL TEXAS KIDNEY ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Central Texas Hospital Physicians
• Central Texas Imaging Group
• Central Texas Integrated Center PLLC
• Central Texas Kidney Assoc PA
• Central Texas Kidney Assoc.
• Central Texas Lung Associates
• Central Texas Medical Specialists PLLC (Georgetown Cancer Center)
• Central Texas Medical Specialists PLLC (Austin Cancer Center)
• Central Texas Medical Specialists, PLLC (Austin Cancer Center)
• Central Texas Neuromonitoring, PLLC

• Nephrology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.