NORTH TEXAS KIDNEY DISEASE ASSOCIATES
NPI 1063871440
Internal Medicine - Nephrology in Flower Mound, TX

Active since February 15, 2016CLIA Certified · 3 labs
4370 MEDICAL ARTS DR, SUITE 210, FLOWER MOUND, TX 75028(972) 219-0558(972) 436-9273 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Jul 11, 2018, Feb 15, 2016 (3 updates tracked since 2016).

About North Texas Kidney Disease Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH TEXAS KIDNEY DISEASE ASSOCIATES (NPI 1063871440) is a healthcare organization registered as a nephrology in Flower Mound, Texas and active in the NPI registry since February 2016. The organization holds 3 active CLIA laboratory certificates and lists Sirena Martin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1063871440
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTH TEXAS KIDNEY DISEASE ASSOCIATES
Location Address4370 MEDICAL ARTS DR, SUITE 210Flower Mound, TX 75028
Mailing Address1600 Waters Ridge Dr Ste ALewisville, TX 75057-6039 · (972) 219-0558 · Fax (214) 466-7237
Fax(972) 436-9273
Organization SubpartYes
Authorized OfficialSirena MartinPractice Manager · (214) 466-7230
Enumeration DateFebruary 15, 2016
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1063871440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4370 MEDICAL ARTS DR, Flower Mound, TX 75028

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2051213

North Texas Kidney Disease Assoc · Flower Mound, TX
Active · expires Dec 13, 2026
CLIA Number45D2051213
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorBruce H. Baker
Laboratory Phone(972) 219-0558
Laboratory LocationNorth Texas Kidney Disease Assoc4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0691161

North Texas Kidney Disease · Lewisville, TX
Active · expires Oct 1, 2026
CLIA Number45D0691161
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorBruce Baker
Laboratory Phone(972) 219-0558
Laboratory LocationNorth Texas Kidney Disease1600 Waters Ridge Drive Suite A, Lewisville, TX 75057
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0981919

North Texas Kidney Specialists PA · Dallas, TX
Active · expires Jan 10, 2027
CLIA Number45D0981919
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorRobert A. Farkas MD
Laboratory Phone(214) 466-7230
Laboratory LocationNorth Texas Kidney Specialists PA6190 Lbj Freeway Bldg 2, Suite 702, Dallas, TX 75240
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
4370 MEDICAL ARTS DR, SUITE 105
FLOWER MOUND, TX 75028
Clinic/Center
4370 MEDICAL ARTS DR, SUITE # 315
FLOWER MOUND, TX 75028
Specialist
4370 MEDICAL ARTS DR, #315
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, SUITE 295
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028
Urology
4370 MEDICAL ARTS DR, SUITE 105
FLOWER MOUND, TX 75028
Internal Medicine (Gastroenterology)
4370 MEDICAL ARTS DR, STE 295
FLOWER MOUND, TX 75028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Texas Kidney Disease Associates's NPI number?

The NPI number for North Texas Kidney Disease Associates is 1063871440. It was assigned to this organization in the NPPES registry on February 15, 2016.

Where is North Texas Kidney Disease Associates located?

North Texas Kidney Disease Associates is located at 4370 Medical Arts Dr Suite 210, Flower Mound, TX 75028. The listed phone number is (972) 219-0558.

What is North Texas Kidney Disease Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does North Texas Kidney Disease Associates hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for North Texas Kidney Disease Associates was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.