Active NPI
Blalock Dialysis Center Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 110188
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, Inc
- Overall star rating
- Ownership
- Profit
- Certified
- Oct 15, 2014
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2042006 | Blalock Dialysis Center Inc | Certificate of waiver | Jun 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Houston, TX
- NPI 1265531842
-
- Nephrology Physician
- Houston, TX
- NPI 1730421751
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.