Active NPI
Valley Kidney Institute
- Nephrology Physician
- Mission, TX
National Provider Identifier
1972741130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- K0877
- Legal business name
- VALLEY KIDNEY INSTITUTE
- Practice address
- 900 Plaza Drive
Ste #5
Mission, TX 78572-6049 - Phone
- (956) 583-0095
- Fax
- (956) 583-2118
- NPI assigned
- Jan 27, 2009
- 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
- Mohammad Hosein Kotaki, MD
- Title
- President
- Phone
- (956) 583-0095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | K0877 | TX | Primary |
Addresses
Primary practice location
900 Plaza Drive
Ste #5
Mission, TX 78572-6049
Mailing address
900 Plaza Drive
Ste #5
Mission, TX 78572-6049
Phone (956) 583-0095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127635404 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
900 Plaza Dr
Ste 5
Mission, TX 78572
Phone (956) 317-4044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Mission, TX
- NPI 1760565378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1972741130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PLAZA DRIVE",
"address_2": "STE #5",
"city": "MISSION",
"state": "TX",
"postal_code": "785726049",
"telephone_number": "956-583-0095",
"fax_number": "956-583-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PLAZA DRIVE",
"address_2": "STE #5",
"city": "MISSION",
"state": "TX",
"postal_code": "785726049",
"telephone_number": "956-583-0095",
"fax_number": "956-583-2118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY KIDNEY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "KOTAKI",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "HOSEIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-583-0095",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "K0877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127635404",
"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 Jan 27, 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.