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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1144553868
Internal Medicine - Nephrology in Hondo, TX

Active since September 14, 2009CLIA 45D2025381 · Microscopy
602 31ST ST, HONDO, TX 78861(210) 692-7228(210) 692-9671 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: October 04, 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 1144553868) is a healthcare organization registered as a nephrology in Hondo, Texas and active in the NPI registry since September 2009. The organization holds a CLIA Microscopy certificate valid through June 7, 2027 and lists Clay Roby, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1144553868
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address602 31ST STHondo, TX 78861-3512
Mailing Address7142 San Pedro Ave, Suite 120San Antonio, TX 78216-6256 · (210) 481-7453 · Fax (210) 481-7463
Phone(210) 692-7228
Fax(210) 692-9671
Organization SubpartNo
Authorized OfficialClay RobyExecutive Director · (210) 481-7453
Enumeration DateSeptember 14, 2009
Last NPPES UpdateApril 10, 2014
✔ NPI 1144553868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
602 31ST ST, Hondo, TX 78861
Open in Google Maps ↗

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

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) 45D2025381

San Antonio Kidney Disease Center Physician Group Hondo · Hondo, TX
Active · expires Jun 7, 2027
CLIA Number45D2025381
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorWesley B. Calhoun
Laboratory Phone(210) 692-7228
Laboratory LocationSan Antonio Kidney Disease Center Physician Group Hondo602 31st Street, Hondo, TX 78861
CLIA data matches this NPI record on: Address 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 3

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

MEAGHAN NICOL TIMBERLAKE APRN, MSN, FNP-C
Nurse Practitioner (Family)
602 31ST ST
HONDO, TX 78861
Medina County (210) 202-0250
AMANDA RALPH MSN, APRN, FNP-C
Family Medicine
602 31ST ST
HONDO, TX 78861
Medina County (830) 426-7444
THOMAS W. GRABOW M.D.
Ophthalmology
602 31ST ST
HONDO, TX 78861
Medina County (830) 741-3361

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 1144553868. It was assigned to this organization in the NPPES registry on September 14, 2009.

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 602 31st St, Hondo, TX 78861. The listed phone number is (210) 692-7228.

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 45D2025381) is associated with this NPI, valid through June 7, 2027. 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 April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.