Organization Active NPI

Nephrology Leaders and Associates, PLLC

  • Nephrology Physician
  • Bay City, TX
National Provider Identifier
1760649206
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY LEADERS AND ASSOCIATES, PLLC
Practice address
200 Medical Center CT Ste 100
Bay City, TX 77414-4733
Phone
(979) 245-2421
Fax
(979) 245-6263
NPI assigned
May 21, 2008
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Mohammed Atiq Data, MD
Title
Owner
Phone
(979) 245-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

200 Medical Center CT Ste 100
Bay City, TX 77414-4733

Mailing address

PO Box 2660
Bay City, TX 77404-2660
Phone (979) 245-2421

Other practice location 1

405 This Way St
Lake Jackson, TX 77566-5140
Phone (979) 297-2534

Other practice location 2

205 N Alabama Rd # A
Wharton, TX 77488-5203
Phone (979) 531-1822

Other practice location 3

16035 Lexington Blvd
Sugar Land, TX 77479-2316
Phone (832) 532-7835

Other practice location 4

208 N McKinney St # 2
Sweeny, TX 77480-3404
Phone (979) 548-1035

Other practice location 5

146 E Hospital Dr
Angleton, TX 77515-4169
Phone (979) 548-1035

Other identifiers 2

IdentifierTypeStateIssuer
0080RLOtherTXBCBS OF TX
197861102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081114000495 TX Part B Supplier - Clinic/Group Practice 3476613886 Receives reassigned benefits from 7 practitioners
Practice locations: Wharton, TX; West Columbia, TX; Van Vleck, TX; Sweeny, TX; Sugar Land, TX; Missouri City, TX; Lake Jackson, TX; Bay City, 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
45D2332345Nephrology Leaders and Associates, PLLC405 This Way, Lake Jackson, TX 77566Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Locations

1700 Merlin St
#3
Bay City, TX 77414

405 This Way St
Lake Jackson, TX 77566
Phone (979) 297-2534

16035 Lexington Blvd
Sugar Land, TX 77479
Phone (832) 532-7835

208 N McKinney St
#2
Sweeny, TX 77480
Phone (979) 548-1035

513 S Columbia Dr
West Columbia, TX 77486
Phone (979) 345-6522

205 N Alabama Rd
Ste A
Wharton, TX 77488

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1760649206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2660",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774042660",
            "telephone_number": "979-245-2421",
            "fax_number": "979-245-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER CT STE 100",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144733",
            "telephone_number": "979-245-2421",
            "fax_number": "979-245-6263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 This Way St",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665140",
            "country_code": "US",
            "telephone_number": "979-297-2534",
            "fax_number": "979-548-1038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Alabama Rd # A",
            "address_purpose": "LOCATION",
            "city": "Wharton",
            "state": "TX",
            "postal_code": "774885203",
            "country_code": "US",
            "telephone_number": "979-531-1822",
            "fax_number": "979-245-6263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16035 Lexington Blvd",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792316",
            "country_code": "US",
            "telephone_number": "832-532-7835",
            "fax_number": "979-245-6263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 N McKinney St # 2",
            "address_purpose": "LOCATION",
            "city": "Sweeny",
            "state": "TX",
            "postal_code": "774803404",
            "country_code": "US",
            "telephone_number": "979-548-1035",
            "fax_number": "979-548-1038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 E Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Angleton",
            "state": "TX",
            "postal_code": "775154169",
            "country_code": "US",
            "telephone_number": "979-548-1035",
            "fax_number": "979-548-1038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY LEADERS AND ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "DATA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ATIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-245-2421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0080RL",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197861102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.