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NORTH TEXAS KIDNEY DISEASE ASSOCIATES
NPI 1154777068
Internal Medicine - Nephrology in Carrollton, TX

Active since May 10, 2016CLIA 45D2107825 · Waiver
4333 N JOSEY LN STE 103, CARROLLTON, TX 75010(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 02, 2026.

Record update history: Jul 17, 2024, Jul 11, 2018, May 10, 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 1154777068) is a healthcare organization registered as a nephrology in Carrollton, Texas and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Sirena Martin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1154777068
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTH TEXAS KIDNEY DISEASE ASSOCIATES
Location Address4333 N JOSEY LN STE 103Carrollton, TX 75010-4620
Mailing Address1600 Waters Ridge Dr Ste ALewisville, TX 75057-6039 · (972) 219-0558 · Fax (214) 466-7237
Phone(972) 219-0558
Fax(972) 436-9273
Organization SubpartYes
Authorized OfficialSirena MartinPractice Manager · (214) 466-7230
Enumeration DateMay 10, 2016
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1154777068 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.
4333 N JOSEY LN STE 103, Carrollton, TX 75010
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Other Identifiers 1

Medicaid146883702TX

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 of Waiver 45D2107825

North Texas Kidney Disease Associates · Carrollton, TX
Active · expires Jan 21, 2028
CLIA Number45D2107825
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorAnjana Jagalur
Laboratory Phone(469) 557-9627
Laboratory LocationNorth Texas Kidney Disease Associates4333 N Josey Lane Suite 202, Carrollton, TX 75010
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1154777068. It was assigned to this organization in the NPPES registry on May 10, 2016.

Where is North Texas Kidney Disease Associates located?

North Texas Kidney Disease Associates is located at 4333 N Josey Ln Ste 103, Carrollton, TX 75010. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2107825) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.