Kidneyspa Sugar Land Home LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEYSPA SUGAR LAND HOME LLC

Practice address

145 Promenade Way Ste 5
Sugar Land, TX 77479-7225

Phone

(305) 548-4000

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Juan M Cuellar, MD

Title

Ceo

Phone

(305) 329-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

KidneySpa Sugar Land HomeCCN 742706

Ownership

Profit

Certified

Jan 24, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 1

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

• Humaira Khawaja Chaudhary, M.D.

  • Nephrology Physician
  • Sugar Land, TX
  • NPI 1912904996

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1821785130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352348",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331358348",
            "telephone_number": "305-548-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PROMENADE WAY STE 5",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797225",
            "telephone_number": "305-548-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEYSPA SUGAR LAND HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-329-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Waqas Khokhar, PHARMD
• Stephanie Khoo, PA-C
• Khsa Vision Group
• Daniel Kiang, PHARMD
• Kidney Care Specialists of Texas, PLLC
• Kids Urgent Care
• Kiki Health & Hospice Care LLC
• Jerry Kilichumala, PT
• Kim Ahuja DDS PLLC
• Eun Young Kim, AGACNP-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.