Midland Kidney Care PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MIDLAND KIDNEY CARE PLLC

Practice address

3302 W Golf Course Rd Ste 100
Midland, TX 79703-5110

Phone

(432) 522-2304

Fax

(432) 522-2307

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Ryan Valle

Title

President

Phone

(781) 699-9362

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Permian Nephrology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Mamoun E Bashir, MD

  • Nephrology Physician
  • Odessa, TX
  • NPI 1588851232

  Nephrology, TX

  Medicare reassignment Care Compare group NPD
• Jennifer Danelle Navarez, FNP

  • Nurse Practitioner
  • Midland, TX
  • NPI 1144047069

  TX

  Medicare reassignment Care Compare group NPD
• Joy Okwuwa, M.D

  • Nephrology Physician
  • Midland, TX
  • NPI 1194135574

  Nephrology, TX

  Medicare reassignment Care Compare group NPD
• Kimberly Packer

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1699523423

  TX

  Medicare reassignment Care Compare group NPD
• Ramakrishna Thokala, MD

  • Nephrology Physician
  • Midland, TX
  • NPI 1295969699

  Nephrology, TX

  Medicare reassignment Care Compare group NPD
• Sheila G Newsom, M.D.

  • Nephrology Physician
  • Midland, TX
  • NPI 1154436632

  Nephrology

  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1881067973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 W GOLF COURSE RD STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035110",
            "telephone_number": "432-522-2304",
            "fax_number": "432-522-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 W GOLF COURSE RD STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035110",
            "telephone_number": "432-522-2304",
            "fax_number": "432-522-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Eastridge Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797625027",
            "country_code": "US",
            "telephone_number": "432-522-2304",
            "fax_number": "432-522-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDLAND KIDNEY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-699-9362"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "00Y9Y6",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881067973",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Permian Nephrology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midland Gastroenterology and Hepatology, P.a.
• Midland Hand Clinic PLLC
• Midland Imaging Center
• Midland Independent School District
• Midland Independent School District
• Midland Mall FDC PA
• Midland Medical Group PA
• Midland Medical Supply LLC
• Midland Medicine PA
• Midland Memorial Hospital

• All providers in Midland, TX
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.