North Shepherd Kidney Clinic, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NORTH SHEPHERD KIDNEY CLINIC, INC.

Practice address

7272 N Shepherd Dr
Houston, TX 77091-2435

Phone

(713) 697-1115

Fax

(713) 697-1116

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Wadi N SukiNPI 1184624124

Title

Treasurer

Phone

(713) 790-9080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Shepherd Kidney Clinic Doing business as

Practitioners 1

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

• Wadi N Suki, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1184624124
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992823025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912435",
            "telephone_number": "713-697-1115",
            "fax_number": "713-697-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912435",
            "telephone_number": "713-697-1115",
            "fax_number": "713-697-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHEPHERD KIDNEY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUKI",
        "authorized_official_first_name": "WADI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "713-790-9080"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770885",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shepherd Kidney Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Medical Pain Services PLLC
• North Medical Services, PLLC
• North Mesa Dental, PC
• North Shepherd Ambulatory Surgery Center, LLC
• North Shepherd Dialysis Center, LLC
• North Side Pain Relief Center, Inc
• North Star Dental Center
• North Wellness & Chiro Center
• Alise North
• Cristal Shavon North, CRNA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.