Corpus Nephrology Network PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CORPUS NEPHROLOGY NETWORK PLLC

Practice address

1521 S Staples St
Suite 603
Corpus Christi, TX 78404-3150

Phone

(361) 884-9244

Fax

(361) 884-9284

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Jack L Cortese, M.D.NPI 1659374577

Title

Owner

Phone

(361) 884-9244

Specialties & licenses 2

Addresses

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.

• Jack Locardi Cortese, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1659374577
  Medicare reassignment Care Compare group NPD Authorized official
• Katie Montgomery, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1841845286

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Deane S Charba, MD

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1245281492
  Medicare reassignment NPD
• Teresa Morris, PA

  • Physician Assistant
  • Corpus Christi, TX
  • NPI 1497731632
  Medicare reassignment
• Manaf A Alroumoh, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1548350614
  NPD (past)
• Abeer A Kaldas, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1881826089
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1912196486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111222",
            "telephone_number": "361-884-9244",
            "fax_number": "361-884-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST",
            "address_2": "SUITE 603",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043150",
            "telephone_number": "361-884-9244",
            "fax_number": "361-884-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS NEPHROLOGY NETWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "CORTESE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-884-9244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "F0427",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grecia Corrada, MD
• Romulo Corrada, M.D.
• Kelly Joy Corre, LVN

• Nephrology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.