KIDNEY DISEASE ASSOCIATES
NPI 1134115124
Internal Medicine - Nephrology in Lubbock, TX
About Kidney Disease Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDNEY DISEASE ASSOCIATES (NPI 1134115124) is a healthcare organization registered as a nephrology in Lubbock, Texas and active in the NPI registry since September 2005. The organization lists Ruben Dario Villa, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kidney Disease Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Kidney Disease Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kidney Disease Associates's NPI number?
The NPI number for Kidney Disease Associates is 1134115124. It was assigned to this organization in the NPPES registry on September 23, 2005.
Where is Kidney Disease Associates located?
Kidney Disease Associates is located at 5424 19th St # 403, Lubbock, TX 79407. The listed phone number is (806) 368-8782.
What is Kidney Disease Associates's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Kidney Disease Associates enrolled in Medicare?
Yes. Kidney Disease Associates is registered in the Medicare PECOS enrollment system.
When is Kidney Disease Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kidney Disease Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Kidney Disease Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (3), Nephrology (3) and Nurse Practitioner (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kidney Disease Associates accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kidney Disease Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kidney Disease Associates was last updated on June 4, 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.
# Kidney Disease Associates · NPI 1134115124
Nephrology organization in Lubbock, Texas. Organization record, active in the CMS NPPES registry since September 23, 2005.
## Identity
- **NPI:** 1134115124 (Entity type: Organization)
- **Enumerated:** September 23, 2005
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Ruben Villa, MD
## Practice location
- **Address:** 5424 19TH ST # 403, Lubbock, TX 79407-2162
- **Phone:** (806) 368-8782 · **Fax:** (806) 368-8361
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (3), Nephrology (3), Nurse Practitioner (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2024
- **Other identifiers:** Medicaid 094914101 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1134115124) · Data from the CMS NPPES public registry.