EASTSIDE NEPHROLOGY
NPI 1558087726
Internal Medicine - Nephrology in Houston, TX
About Eastside Nephrology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTSIDE NEPHROLOGY (NPI 1558087726) is a healthcare organization registered as a nephrology in Houston, Texas and active in the NPI registry since October 2022. The organization lists Salman Rasheed Mallick, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastside Nephrology 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 Eastside Nephrology, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Eastside Nephrology PA's NPI number?
The NPI number for Eastside Nephrology PA is 1558087726. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Eastside Nephrology.
Where is Eastside Nephrology PA located?
Eastside Nephrology PA is located at 15119 Wallisville Rd Ste 700, Houston, TX 77049. The listed phone number is (832) 631-9363.
What is Eastside Nephrology PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Eastside Nephrology PA enrolled in Medicare?
Yes. Eastside Nephrology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastside Nephrology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Eastside 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eastside Nephrology PA was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Eastside Nephrology · NPI 1558087726
Nephrology organization in Houston, Texas. Organization record, active in the CMS NPPES registry since October 18, 2022.
## Identity
- **NPI:** 1558087726 (Entity type: Organization)
- **Enumerated:** October 18, 2022
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Legal business name:** Eastside Nephrology Pa
- **Organization subpart:** No
- **Authorized official:** Salman Mallick, OWNER
## Practice location
- **Address:** 15119 WALLISVILLE RD STE 700, Houston, TX 77049-4631
- **Phone:** (832) 631-9363 · **Fax:** (832) 631-9463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1558087726) · Data from the CMS NPPES public registry.