KIDNEY TREATMENT CENTER NORTHWEST P A
NPI 1568466506
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Antonio, TX

Active since June 08, 2005
2/5
Overall Rating
3939 MEDICAL DR, STE 110, SAN ANTONIO, TX 78229(210) 692-3075(210) 692-0187 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kidney Treatment Center Northwest P A NPPES

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

KIDNEY TREATMENT CENTER NORTHWEST P A (NPI 1568466506) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Antonio, Texas and active in the NPI registry since June 2005. The organization lists Jessica J Medola, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1568466506
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY TREATMENT CENTER NORTHWEST P A
Location Address3939 MEDICAL DR, STE 110San Antonio, TX 78229-2292
Mailing Address3939 Medical Dr, Ste 110San Antonio, TX 78229-2292 · (210) 692-1515 · Fax (210) 692-0187
Fax(210) 692-0187
Organization SubpartNo
Authorized OfficialJessica J MedolaSupervisor · (210) 692-1515
Enumeration DateJune 8, 2005
Last NPPES UpdateJanuary 25, 2012
NPI 1568466506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in TX · 007316
3939 MEDICAL DR, San Antonio, TX 78229

Other Identifiers 5

Medicare UPINC13784
OtherHH6407TX · Bcbs
Medicaid1452880-02TX
Medicare ID-Type Unspecified452829TX
Medicaid0943250-02TX

Accepted Insurance

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for IRC-San Antonio Medical Drive (CMS certification number 452829), from CMS Care Compare.

IRC-San Antonio Medical Drive

Dialysis facility · San Antonio, TX
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainAmerican Renal Associates
CMS Certification Number452829
ESRD NetworkNetwork 14
Hemodialysis Stations24
Medicare-Certified SinceAugust 3, 2001
Location3939 MEDICAL DRIVE SUITE 110San Antonio, TX 78229 · Bexar County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
3939 MEDICAL DR
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
3939 MEDICAL DR, STE 110
SAN ANTONIO, TX 78229
Pediatrics
3939 MEDICAL DR
SAN ANTONIO, TX 78229
Internal Medicine (Nephrology)
3939 MEDICAL DR, 110
SAN ANTONIO, TX 78229
Physician Assistant
3939 MEDICAL DR
SAN ANTONIO, TX 78229
Family Medicine
3939 MEDICAL DR, STE 100
SAN ANTONIO, TX 78229
Family Medicine
3939 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
3939 MEDICAL DR, SUITE 100
SAN ANTONIO, TX 78229

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 Kidney Treatment Center Northwest P A's NPI number?

The NPI number for Kidney Treatment Center Northwest P A is 1568466506. It was assigned to this organization in the NPPES registry on June 8, 2005.

Where is Kidney Treatment Center Northwest P A located?

Kidney Treatment Center Northwest P A is located at 3939 Medical Dr Ste 110, San Antonio, TX 78229. The listed phone number is (210) 692-3075.

What is Kidney Treatment Center Northwest P A's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Kidney Treatment Center Northwest P A a Medicare-certified dialysis facility?

Yes. IRC-San Antonio Medical Drive is a Medicare-certified dialysis facility, certified since August 3, 2001.

What quality rating does Kidney Treatment Center Northwest P A have?

CMS rates IRC-San Antonio Medical Drive 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Kidney Treatment Center Northwest P A accept?

Health plans from WellPoint list Kidney Treatment Center Northwest P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney Treatment Center Northwest P A was last updated on January 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.