Organization Active NPI

Blalock Dialysis Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
National Provider Identifier
1801156369
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
110188 Issued in TX
Legal business name
BLALOCK DIALYSIS CENTER INC
Practice address
1170 Blalock Rd
Suite 200
Houston, TX 77055-7421
Phone
(713) 464-0236
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. Pinakin R Patel, M.D.NPI 1265531842
Title
Owner
Phone
(713) 464-0236

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
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 110188 TX Primary

Addresses

Primary practice location

1170 Blalock Rd
Suite 200
Houston, TX 77055-7421

Mailing address

1170 Blalock Rd Ste 200
Houston, TX 77055-7421
Phone (713) 463-6611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000068 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 7810144847 Practice locations: Houston, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Blalock Dialysis Center, IncCCN 672749
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Oct 15, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
20

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

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
45D2042006Blalock Dialysis Center Inc1170 Blalock Rd, Suite 200, Houston, TX 77055Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

1170 Blalock Rd
Ste 200
Houston, TX 77055
Phone (713) 463-6611

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1801156369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BLALOCK RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557421",
            "telephone_number": "713-463-6611",
            "fax_number": "281-817-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BLALOCK RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557421",
            "telephone_number": "713-464-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLALOCK DIALYSIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PINAKIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-464-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110188",
            "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 Aug 15, 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.