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KIDNEY AND PRIMARY CARE OF TEXAS LLC
NPI 1689209157
Internal Medicine - Nephrology in San Antonio, TX

Active since March 05, 2020CLIA 45D2297160 · Waiver
3939 MEDICAL DR STE 110, SAN ANTONIO, TX 78229(210) 858-7604(210) 888-0383 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Mar 5, 2020 (2 updates tracked since 2020).

About Kidney And Primary Care Of Texas Llc NPPES

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

KIDNEY AND PRIMARY CARE OF TEXAS LLC (NPI 1689209157) is a healthcare organization registered as a nephrology in San Antonio, Texas and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through January 10, 2028, maintains a secondary practice location in San Antonio, and lists Srinath Tamirisa, Owner, as its authorized official.

NPPES Registry Identity

NPI1689209157
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY AND PRIMARY CARE OF TEXAS LLC
Location Address3939 MEDICAL DR STE 110San Antonio, TX 78229-2292
Mailing Address3939 Medical Dr Ste 110San Antonio, TX 78229-2292 · (210) 858-7604 · Fax (210) 888-0383
Phone(210) 858-7604
Fax(210) 888-0383
Organization SubpartNo
Authorized OfficialSrinath TamirisaOwner · (916) 947-6491
Enumeration DateMarch 5, 2020
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1689209157 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 ListedFamily MedicineTaxonomy 207Q00000X
3939 MEDICAL DR STE 110, San Antonio, TX 78229
Open in Google Maps ↗

Secondary Practice Location 1

Location 11222 McCullough Ave Ste 101San Antonio, TX 78212-4812 · Phone (210) 858-7604 · Fax (210) 888-0383

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2297160

Kidney And Primary Care Of Texas · San Antonio, TX
Active · expires Jan 10, 2028
CLIA Number45D2297160
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorDr. Julio C. Araujo
Laboratory Phone(210) 858-7604
Laboratory LocationKidney And Primary Care Of Texas3939 Medical Dr Ste 110, San Antonio, TX 78229
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.

JULIO CESAR ARAUJO M.D.
Internal Medicine (Nephrology)
3939 MEDICAL DR STE 110
SAN ANTONIO, TX 78229
Bexar County (210) 858-7604
IRC HILL COUNTRY LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3939 MEDICAL DR STE 110
SAN ANTONIO, TX 78229
Bexar County (210) 692-3075

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 And Primary Care Of Texas LLC's NPI number?

The NPI number for Kidney And Primary Care Of Texas LLC is 1689209157. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Kidney And Primary Care Of Texas LLC located?

Kidney And Primary Care Of Texas LLC is located at 3939 Medical Dr Ste 110, San Antonio, TX 78229. The listed phone number is (210) 858-7604.

What is Kidney And Primary Care Of Texas LLC's specialty?

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

Does Kidney And Primary Care Of Texas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2297160) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidney And Primary Care Of Texas 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 and 2 other insurers list Kidney And Primary Care Of Texas 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 Kidney And Primary Care Of Texas LLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.