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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1164540134
Internal Medicine - Nephrology in Kerrville, TX

Active since March 27, 2007CLIA 45D0499055 · Microscopy
222 SIDNEY BAKER S, SUITE 208, KERRVILLE, TX 78028(830) 896-7607(830) 896-8482 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 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 1164540134) is a healthcare organization registered as a nephrology in Kerrville, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Clay Roby, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164540134
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address222 SIDNEY BAKER S, SUITE 208Kerrville, TX 78028-5994
Mailing Address7142 San Pedro Ave, Ste 120San Antonio, TX 78216-6256 · (210) 481-7453 · Fax (210) 481-7463
Phone(830) 896-7607
Fax(830) 896-8482
Organization SubpartNo
Authorized OfficialClay RobyExecutive Director · (210) 481-7453
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 10, 2014
✔ NPI 1164540134 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
222 SIDNEY BAKER S, Kerrville, TX 78028
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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) 45D0499055

San Antonio Kidney Disease Center · Kerrville, TX
Active · expires Aug 31, 2026
CLIA Number45D0499055
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGerardo A. Chica
Laboratory Phone(830) 896-7607
Laboratory LocationSan Antonio Kidney Disease Center222 Sidney Baker South Ste 208, Kerrville, TX 78028
CLIA data matches this NPI record on: Address 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

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

MARK P. GOLDMAN, P.C.
Psychologist (Clinical)
222 SIDNEY BAKER S, SUITE 500
KERRVILLE, TX 78028
Kerr County (830) 895-1840

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 1164540134. It was assigned to this organization in the NPPES registry on March 27, 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 222 Sidney Baker S Suite 208, Kerrville, TX 78028. The listed phone number is (830) 896-7607.

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 45D0499055) is associated with this NPI, valid through August 31, 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 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.