Organization Active NPI

Empire Nephrology, PLLC

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1851004733
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
EMPIRE NEPHROLOGY, PLLC
Practice address
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone
(346) 549-4661
Fax
(800) 887-3142
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Melandrea Worsley, MDNPI 1902301328
Title
Ceo
Phone
(713) 376-7633

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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Mailing address

2700 Cullen Blvd Unit 84174
Pearland, TX 77584-1511
Phone (713) 376-7633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230816001985 TX Part B Supplier - Clinic/Group Practice 4486016813 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX
O20240228000265 KS Part B Supplier - Clinic/Group Practice 4486016813 Receives reassigned benefits from 1 practitioner
Practice locations: Dodge City, KS

National Provider Directory

National Provider Directory

Locations

2700 Cullen Blvd
Unit 84174
Pearland, TX 77584

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1851004733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CULLEN BLVD UNIT 84174",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841511",
            "telephone_number": "713-376-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "346-549-4661",
            "fax_number": "800-887-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE NEPHROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "WORSLEY",
        "authorized_official_first_name": "MELANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-376-7633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "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 4, 2023; 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.