Organization Active NPI

Gulf Coast Nephrology LLP

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1861416117
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
GULF COAST NEPHROLOGY LLP
Practice address
7777 Southwest Fwy
Suite 1052
Houston, TX 77074
Phone
(713) 988-8776
Fax
(713) 988-8662
NPI assigned
Jul 27, 2006
Last updated
Jul 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Margarita Felan
Title
Practice Manager
Phone
(979) 297-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

7777 Southwest Fwy
Suite 1052
Houston, TX 77074

Mailing address

450 This Way St Ste B
Lake Jackson, TX 77566-5152
Phone (979) 299-0091

Other identifiers 3

IdentifierTypeStateIssuer
168436702MedicaidTX
209870901MedicaidTX
208541701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000721 TX Part B Supplier - Clinic/Group Practice 7517937097 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Jackson, TX; Wharton, TX; Sugar Land, TX; Richmond, TX; Missouri City, TX; Houston, TX; El Campo, TX; Eagle Lake, TX…

National Provider Directory

National Provider Directory

Locations

305 Sandy Corner Rd
#200
El Campo, TX 77437
Phone (979) 543-2203

307 Sandy Corner Rd
#A
El Campo, TX 77437
Phone (979) 543-7400

7746 Highway 6
Ste C
Missouri City, TX 77459
Phone (212) 300-3484

Practitioners & affiliated clinicians

Practitioners 8

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1861416117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 THIS WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665152",
            "telephone_number": "979-299-0091",
            "fax_number": "713-988-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "SUITE 1052",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "713-988-8776",
            "fax_number": "713-988-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST NEPHROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-07-07",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "FELAN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "979-297-2220"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168436702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209870901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208541701",
            "state": "TX"
        }
    ],
    "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 Jul 7, 2021; 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.