Active NPI
Kidney Doctors of South Texas PA
- Nephrology Physician
- Mission, TX
National Provider Identifier
1972532893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180044303 | Medicaid | TX | |
| 0056NT | Other | BLUE CROSS BLUE SHIELD | |
| DE8323 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.