Organization Active NPI

Satellite Healthcare of Austin LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kyle, TX
National Provider Identifier
1811518525
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SATELLITE HEALTHCARE OF AUSTIN LLC
Practice address
134 Elmhurst Drive
Kyle, TX 78640-6060
Phone
(512) 268-3100
Fax
(512) 268-5239
NPI assigned
May 4, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Thomas L. Weinberg
Title
Authorized Official - President & C
Phone
(214) 736-2700

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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
45D0951861Satellite Healthcare of Austin LLC134 Elmhurst Drive, Kyle, TX 78640Certificate of waiverSep 28, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200630001812 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 0840611646 Practice locations: Kyle, TX

National Provider Directory

National Provider Directory
Tax ID family
Satellite Healthcare of Austin LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 Elmhurst
Ste 100
Kyle, TX 78640
Phone (512) 268-3100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

134 Elmhurst Drive
Kyle, TX 78640-6060

Mailing address

300 Santana Row Ste 300
San Jose, CA 95128-2424
Phone (650) 404-3600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
45D0951861OtherTXCMS CLIA

Other names 1

NPPES NPI Registry
  • Satellite Healthcare Kyle Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2023.

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1811518525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282424",
            "telephone_number": "650-404-3600",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ELMHURST DRIVE",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406060",
            "telephone_number": "512-268-3100",
            "fax_number": "512-268-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE OF AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL - PRESIDENT & C",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA",
            "identifier": "45D0951861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Kyle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare Kyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.