Texas Kidney Associates MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

TEXAS KIDNEY ASSOCIATES MD PA

Doing business as

TEKA

Practice address

100 Medical Center Blvd Ste 116
Conroe, TX 77304-2821

Phone

(936) 666-1110

Fax

(936) 539-3334

NPI assigned

Feb 25, 2011

Organization subpart

No

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

Authorized official

Name

Ajith KuriakoseNPI 1073772224

Title

President

Phone

(936) 225-4222

Specialties & licenses 2

Addresses

Other names 1

• TEKA Doing business as

Locations

Practitioners 1

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

• Ajith Kuriakose, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1073772224

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1932406048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042888",
            "telephone_number": "936-666-1110",
            "fax_number": "936-539-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 116",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-666-1110",
            "fax_number": "936-539-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDNEY ASSOCIATES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "KURIAKOSE",
        "authorized_official_first_name": "AJITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-225-4222"
    },
    "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": [
        {
            "organization_name": "TEKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Heart & Peripheral Arterial Center PLLC
• Texas Home Medical Inc.
• Texas Home Medical, Inc.
• Texas Inpatient Physicians PLLC
• Texas Integrated Care Group, PLLC
• Texas Loving Serenity
• Texas Routes Nemt, LLC
• Texas Xpress Care Clinic, LLC
• Yashna Thakker
• Raji Susan Thamban, MA, CCC-SLP

• Nephrology Physician in Conroe, TX
• Providers in Conroe, 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 13, 2011; 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.