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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1083806699
Internal Medicine - Nephrology in San Antonio, TX

Active since August 16, 2007CLIA 45D0977620 · Microscopy
1954 E HOUSTON ST, STE 103, SAN ANTONIO, TX 78202(210) 228-0743(210) 228-9749 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Antonio Kidney Disease Center Physicians Group, P.l.l.c. NPPES

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

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI 1083806699) is a healthcare organization registered as a nephrology in San Antonio, Texas and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through August 29, 2026 and lists Clay Roby, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083806699
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address1954 E HOUSTON ST, STE 103San Antonio, TX 78202-2951
Mailing Address7142 San Pedro Ave, Ste. 120San Antonio, TX 78216-6254 · (210) 662-5622 · Fax (210) 661-3795
Phone(210) 228-0743
Fax(210) 228-9749
Organization SubpartNo
Authorized OfficialClay RobyDirector Of Operations · (210) 661-5622
Enumeration DateAugust 16, 2007
✔ NPI 1083806699 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.

1954 E HOUSTON ST, San Antonio, TX 78202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0977620

San Antonio Kidney Disease Center Physicians Group P L L C · San Antonio, TX
Active · expires Aug 29, 2026
CLIA Number45D0977620
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorTerrance Fried MD
Laboratory Phone(210) 228-0743
Laboratory LocationSan Antonio Kidney Disease Center Physicians Group P L L C400 Baltimore, San Antonio, TX 78215
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

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

MEDICAL CENTER SOUTH TEXAS CENTER FOR PEDIATRIC CARE
Pediatrics
1954 E HOUSTON ST, SUITE 104
SAN ANTONIO, TX 78202
Bexar County (210) 576-0533
MELISSA A WALKER DO
Family Medicine
1954 E HOUSTON ST, SUITE 105
SAN ANTONIO, TX 78202
Bexar County (210) 271-0805
KRYSTAL ASHLEY BARBOSA LCSW
Social Worker (Clinical)
1954 E HOUSTON ST
SAN ANTONIO, TX 78202
Bexar County (210) 261-1312
STONE OAK SOUTH TEXAS CENTER FOR PEDIATRIC CARE
Pediatrics
1954 E HOUSTON ST, SUITE 104
SAN ANTONIO, TX 78202
Bexar County (210) 576-0533
LISA ANN MARIE BELOW
Licensed Vocational Nurse
1954 E HOUSTON ST
SAN ANTONIO, TX 78202
Bexar County (210) 261-2427
LOREN D ALVES, DMD, PA
Dentist (Pediatric Dentistry)
1954 E HOUSTON ST, STE. 210
SAN ANTONIO, TX 78202
Bexar County (210) 208-6525
MANOJNA MUTYALU KINTADA VOSBERG DO
Psychiatry & Neurology (Psychiatry)
1954 E HOUSTON ST
SAN ANTONIO, TX 78202
Bexar County (210) 261-2427
SOUTHWEST SOUTH TEXAS CENTER FOR PEDIATRIC CARE
Pediatrics
1954 E HOUSTON ST, SUITE 104
SAN ANTONIO, TX 78202
Bexar County (210) 576-0533

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 San Antonio Kidney Disease Center Physicians Group, P.L.L.C.'s NPI number?

The NPI number for San Antonio Kidney Disease Center Physicians Group, P.L.L.C. is 1083806699. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is San Antonio Kidney Disease Center Physicians Group, P.L.L.C. located?

San Antonio Kidney Disease Center Physicians Group, P.L.L.C. is located at 1954 E Houston St Ste 103, San Antonio, TX 78202. The listed phone number is (210) 228-0743.

What is San Antonio Kidney Disease Center Physicians Group, P.L.L.C.'s specialty?

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

Does San Antonio Kidney Disease Center Physicians Group, P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0977620) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Antonio Kidney Disease Center Physicians Group, P.L.L.C. was last updated on August 16, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.