Organization Active NPI

Kidney Doctors of South Texas PA

  • Nephrology Physician
  • Mission, TX
National Provider Identifier
1972532893
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY DOCTORS OF SOUTH TEXAS PA
Practice address
1300 S Bryan Rd
Suite 106
Mission, TX 78572-6626
Phone
(956) 519-2315
Fax
(956) 519-0483
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Keith Ramos, M.D.
Title
Owner
Phone
(956) 519-2315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1300 S Bryan Rd
Suite 106
Mission, TX 78572-6626

Mailing address

PO Box 4412
McAllen, TX 78502-4412
Phone (956) 519-2315

Other identifiers 3

IdentifierTypeStateIssuer
180044303MedicaidTX
0056NTOtherBLUE CROSS BLUE SHIELD
DE8323OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1300 S Bryan Rd
Ste 106
Mission, TX 78572
Phone (956) 519-2315

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1972532893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4412",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024412",
            "telephone_number": "956-519-2315",
            "fax_number": "956-519-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD",
            "address_2": "SUITE 106",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726626",
            "telephone_number": "956-519-2315",
            "fax_number": "956-519-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DOCTORS OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-519-2315",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180044303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0056NT",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8323",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.