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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1174710040
Internal Medicine - Nephrology in Seguin, TX

Active since September 25, 2007CLIA 45D2014389 · Microscopy
1410 E WALNUT ST, SEGUIN, TX 78155(830) 549-5022(830) 433-4460 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 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 1174710040) is a healthcare organization registered as a nephrology in Seguin, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through October 6, 2026 and lists Clay Roby, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174710040
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address1410 E WALNUT STSeguin, TX 78155-5175
Mailing Address7142 San Pedro Ave, Suite 120San Antonio, TX 78216-6256 · (210) 481-7453 · Fax (210) 481-7463
Phone(830) 549-5022
Fax(830) 433-4460
Organization SubpartNo
Authorized OfficialClay RobyExecutive Director · (210) 661-5622
Enumeration DateSeptember 25, 2007
Last NPPES UpdateAugust 8, 2014
✔ NPI 1174710040 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
1410 E WALNUT ST, Seguin, TX 78155
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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) 45D2014389

San Antonio Kidney Disease Center Physicians Group PLLC Seguin Office · Seguin, TX
Active · expires Oct 6, 2026
CLIA Number45D2014389
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorLin Z. Johnson
Laboratory Phone(830) 401-4455
Laboratory LocationSan Antonio Kidney Disease Center Physicians Group PLLC Seguin Office1410 E Walnut, Seguin, TX 78155
CLIA data matches this NPI record on: Address
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.

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 1174710040. It was assigned to this organization in the NPPES registry on September 25, 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 1410 E Walnut St, Seguin, TX 78155. The listed phone number is (830) 549-5022.

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 45D2014389) is associated with this NPI, valid through October 6, 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 August 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.