Organization Active NPI

Coastal-Kidney Treatment Centers PLLC

  • Nephrology Physician
  • Sugar Land, TX
National Provider Identifier
1932335361
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Practice address
16659 Southwest Fwy
# 561
Sugar Land, TX 77479-2375
Phone
(281) 558-6555
Fax
(281) 558-6133
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Rupert Patel, M.D.
Title
Officer
Phone
(281) 558-6555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X TX
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X TX Primary

Addresses

Primary practice location

16659 Southwest Fwy
# 561
Sugar Land, TX 77479-2375

Mailing address

12121 Richmond Ave
# 214
Houston, TX 77082-2432
Phone (281) 558-6555

Other identifiers 1

IdentifierTypeStateIssuer
0053SDOtherTXBCBSTX GROUP #

National Provider Directory

National Provider Directory

Locations

12121 Richmond Ave
Ste 214
Houston, TX 77082
Phone (281) 531-8013

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1932335361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "# 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-558-6555",
            "fax_number": "281-558-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "# 561",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-558-6555",
            "fax_number": "281-558-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL-KIDNEY TREATMENT CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-558-6555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GROUP #",
            "identifier": "0053SD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.