BETHSAIDA NEPHROLOGY AND INTERNAL MEDICINE
NPI 1619314366
Internal Medicine - Nephrology in Laredo, TX

Q: What is Bethsaida Nephrology And Internal Medicine's specialty?

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

Active since June 03, 2013

1405 JACAMAN RD STE 102, LAREDO, TX 78041(956) 568-9657(956) 568-9659 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2018, Mar 22, 2018 (2 updates tracked since 2018).

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About Bethsaida Nephrology And Internal Medicine NPPES

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

BETHSAIDA NEPHROLOGY AND INTERNAL MEDICINE (NPI 1619314366) is a healthcare organization registered as a nephrology in Laredo, Texas and active in the NPI registry since June 2013. The organization lists Olayinka Omowunmi Holt, Director, as its authorized official.

NPPES Registry Identity

NPI1619314366

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameBETHSAIDA NEPHROLOGY AND INTERNAL MEDICINE

Location Address1405 JACAMAN RD STE 102Laredo, TX 78041-6225

Mailing Address1405 Jacaman Rd Ste 102Laredo, TX 78041-6225 · (956) 568-9657 · Fax (956) 568-9659

Phone(956) 568-9657

Fax(956) 568-9659

Organization SubpartNo

Authorized OfficialOlayinka Omowunmi HoltDirector · (347) 350-3187

Enumeration DateJune 3, 2013

Last NPPES UpdateMay 1, 20182 updates tracked since enumeration

✔ NPI 1619314366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · P1765

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 ListedInternal MedicineTaxonomy 207R00000X · License P1765 (TX)

1405 JACAMAN RD STE 102, Laredo, TX 78041

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Other Identifiers 1

Medicaid333074801TX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethsaida Nephrology And Internal Medicine 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 Bethsaida Nephrology And Internal Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olayinka Holt, MD

Nephrology

NPI 1871876011

1405 JACAMAN RD STE 102
Laredo, TX 78041

(956) 568-9657

✔ PECOS✔ Accepts Medicare0.3 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 Bethsaida Nephrology And Internal Medicine's NPI number?

The NPI number for Bethsaida Nephrology And Internal Medicine is 1619314366. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Bethsaida Nephrology And Internal Medicine located?

Bethsaida Nephrology And Internal Medicine is located at 1405 Jacaman Rd Ste 102, Laredo, TX 78041. The listed phone number is (956) 568-9657.

What is Bethsaida Nephrology And Internal Medicine's specialty?

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

Is Bethsaida Nephrology And Internal Medicine enrolled in Medicare?

Yes. Bethsaida Nephrology And Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethsaida Nephrology And Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Bethsaida Nephrology And Internal Medicine. 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 Bethsaida Nephrology And Internal Medicine was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.