SPACE CITY ASSOCIATES OF NEPHROLOGY, PA
NPI 1164645511
Internal Medicine - Nephrology in Webster, TX

Active since April 11, 2007
560 BLOSSOM ST STE C, WEBSTER, TX 77598(832) 905-6141(832) 200-3259 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Space City Associates Of Nephrology, Pa NPPES

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

SPACE CITY ASSOCIATES OF NEPHROLOGY, PA (NPI 1164645511) is a healthcare organization registered as a nephrology in Webster, Texas and active in the NPI registry since April 2007. The organization lists Mahendra Agraharkar, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164645511
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSPACE CITY ASSOCIATES OF NEPHROLOGY, PA
Location Address560 BLOSSOM ST STE CWebster, TX 77598-4237
Mailing Address2301 Carina CtLeague City, TX 77573-2879 · (281) 554-5445 · Fax (281) 554-5445
Fax(832) 200-3259
Organization SubpartNo
Authorized OfficialMahendra AgraharkarMedical Director · (832) 905-6141
Enumeration DateApril 11, 2007
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1164645511 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.
560 BLOSSOM ST STE C, Webster, TX 77598

Other Identifiers 1

Medicaid193620501TX

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Space City Associates Of Nephrology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Space City Associates Of Nephrology, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nephrology
NPI 1407483688
560 BLOSSOM ST STE C
Webster, TX 77598
(832) 905-6141
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1376747303
560 BLOSSOM ST STE C
Webster, TX 77598
(832) 905-6141
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1194751297
212 GULF FREEWAY G-3
League City, TX 77573
(281) 316-1763
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1699041608
1175 HUNTERS CREEK WAY
Hockley, TX 77447
(281) 459-0065
✔ PECOS✔ Accepts Medicare55 mi
Nurse Practitioner
NPI 1932758042
1120 N LOOP 336 W STE A
Conroe, TX 77301
(346) 646-4220
✔ PECOS✔ Accepts Medicare58 mi

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 Space City Associates Of Nephrology, PA's NPI number?

The NPI number for Space City Associates Of Nephrology, PA is 1164645511. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Space City Associates Of Nephrology, PA located?

Space City Associates Of Nephrology, PA is located at 560 Blossom St Ste C, Webster, TX 77598. The listed phone number is (832) 905-6141.

What is Space City Associates Of Nephrology, PA's specialty?

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

Is Space City Associates Of Nephrology, PA enrolled in Medicare?

Yes. Space City Associates Of Nephrology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Space City Associates Of Nephrology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Space City Associates Of Nephrology, PA. 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 Nephrology (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Space City Associates Of Nephrology, PA was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.