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BEAUMONT NEPHROLOGY ASSOCIATES
NPI 1174639892
Internal Medicine - Nephrology in Beaumont, TX

Active since August 23, 2006
710 S 8TH ST STE A, BEAUMONT, TX 77701(409) 212-9240(409) 212-9239 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Beaumont Nephrology Associates NPPES

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

BEAUMONT NEPHROLOGY ASSOCIATES (NPI 1174639892) is a healthcare organization registered as a nephrology in Beaumont, Texas and active in the NPI registry since August 2006. The organization lists Amy S Anderson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174639892
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBEAUMONT NEPHROLOGY ASSOCIATES
Location Address710 S 8TH ST STE ABeaumont, TX 77701-4680
Mailing Address710 S 8th St Ste ABeaumont, TX 77701-4680 · (409) 212-9240 · Fax (409) 212-9239
Phone(409) 212-9240
Fax(409) 212-9239
Organization SubpartNo
Authorized OfficialAmy S AndersonOffice Manager · (409) 212-9240
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 11, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1174639892 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.
710 S 8TH ST STE A, Beaumont, TX 77701
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Other Names 1

Doing Business AsBeaumont Nephrology Associates

Other Identifiers 1

Medicaid0936379-01TX

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)

Beaumont Nephrology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beaumont Nephrology Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ajith Kuriakose, MD
Nephrology
NPI 1073772224
710 S 8TH ST STE A
Beaumont, TX 77701
(409) 212-9240
✔ PECOS✔ Accepts MedicareSame address

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 Beaumont Nephrology Associates's NPI number?

The NPI number for Beaumont Nephrology Associates is 1174639892. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Beaumont Nephrology Associates located?

Beaumont Nephrology Associates is located at 710 S 8th St Ste A, Beaumont, TX 77701. The listed phone number is (409) 212-9240.

What is Beaumont Nephrology Associates's specialty?

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

Is Beaumont Nephrology Associates enrolled in Medicare?

Yes. Beaumont Nephrology Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaumont Nephrology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Beaumont Nephrology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beaumont Nephrology Associates was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.