Organization Active NPI

Valley Kidney Institute

  • Nephrology Physician
  • Mission, TX
National Provider Identifier
1972741130
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K0877 Issued in TX
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

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mohammad Hosein Kotaki, MDNPI 1760565378
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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
127635404MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.