AQUA DIALYSIS SAN AUGUSTINE, LLC
NPI 1649879230
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Augustine, TX

Active since October 23, 2020CLIA 45D1093138 · Waiver
403 N MILAM ST, SAN AUGUSTINE, TX 75972(936) 275-3600 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Oct 23, 2020 (2 updates tracked since 2020).

About Aqua Dialysis San Augustine, Llc NPPES

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

AQUA DIALYSIS SAN AUGUSTINE, LLC (NPI 1649879230) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Augustine, Texas and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Rupal Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649879230
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameAQUA DIALYSIS SAN AUGUSTINE, LLC
Location Address403 N MILAM STSan Augustine, TX 75972-2228
Mailing Address1245 Southridge Ct Ste 102Hurst, TX 76053-4390 · (682) 429-4508 · Fax (346) 214-6368
Organization SubpartYesParent: Aqua Dialysis Llp
Authorized OfficialRupal PatelCeo · (832) 721-2927
Enumeration DateOctober 23, 2020
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1649879230 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
403 N MILAM ST, San Augustine, TX 75972

Accepted Insurance

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 of Waiver 45D1093138

Aqua Dialysis San Augustine LLC · San Augustine, TX
Active · expires Dec 10, 2026
CLIA Number45D1093138
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorMuhammad A. Mir
Laboratory Phone(936) 275-3600
Laboratory LocationAqua Dialysis San Augustine LLC403 North Milam St, San Augustine, TX 75972
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
403 N MILAM ST
SAN AUGUSTINE, TX 75972
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
403 N MILAM ST
SAN AUGUSTINE, TX 75972

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 Aqua Dialysis San Augustine, LLC's NPI number?

The NPI number for Aqua Dialysis San Augustine, LLC is 1649879230. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Aqua Dialysis San Augustine, LLC located?

Aqua Dialysis San Augustine, LLC is located at 403 N Milam St, San Augustine, TX 75972. The listed phone number is (936) 275-3600.

What is Aqua Dialysis San Augustine, LLC's specialty?

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

Does Aqua Dialysis San Augustine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1093138) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aqua Dialysis San Augustine, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Aqua Dialysis San Augustine, LLC 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 Aqua Dialysis San Augustine, LLC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.