Organization Active NPI

Renal Success, PLLC

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1841617982
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N4154 Issued in TX
Legal business name
RENAL SUCCESS, PLLC
Practice address
902 Frostwood Dr
Suite 270
Houston, TX 77024-2420
Phone
(832) 857-1848
Fax
(713) 456-3507
NPI assigned
Mar 26, 2014
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Elson Thomas, MDNPI 1881782282
Title
President
Phone
(713) 320-4312

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N4154 TX
Nephrology Physician 207RN0300X N4154 TX Primary

Addresses

Primary practice location

902 Frostwood Dr
Suite 270
Houston, TX 77024-2420

Mailing address

PO Box 25405
Houston, TX 77265-5405
Phone (713) 320-4312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150619001857 TX Part B Supplier - Clinic/Group Practice 3375854169 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1841617982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772655405",
            "telephone_number": "713-320-4312",
            "fax_number": "713-456-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR",
            "address_2": "SUITE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242420",
            "telephone_number": "832-857-1848",
            "fax_number": "713-456-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL SUCCESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-320-4312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4154",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N4154",
            "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 Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.