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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1699893610
Internal Medicine - Nephrology in Boerne, TX

Active since March 27, 2007CLIA Certified · 2 labs
134 MENGER SPGS, SUITE 1210, BOERNE, TX 78006(210) 495-8280(210) 481-3116 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Antonio Kidney Disease Center Physicians Group, P.l.l.c. NPPES

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

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI 1699893610) is a healthcare organization registered as a nephrology in Boerne, Texas and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Clay Roby, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1699893610
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address134 MENGER SPGS, SUITE 1210Boerne, TX 78006-7218
Mailing Address7142 San Pedro Ave, Ste 120San Antonio, TX 78216-6256 · (210) 481-7453 · Fax (210) 481-7463
Phone(210) 495-8280
Fax(210) 481-3116
Organization SubpartNo
Authorized OfficialClay RobyExecutive Director · (210) 481-7453
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 10, 2014
✔ NPI 1699893610 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
134 MENGER SPGS, Boerne, TX 78006
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2014385

San Antonio Kidney Disease Center Phyisicians Group PLLC Boerne Office · Boerne, TX
Active · expires Oct 6, 2026
CLIA Number45D2014385
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorTerrance Fried
Laboratory Phone(210) 495-8280
Laboratory LocationSan Antonio Kidney Disease Center Phyisicians Group PLLC Boerne Office134 Menger Springs Ste 1360, Boerne, TX 78006
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2014388

San Antonio Kidney Disease Center Stone Oak · San Antonio, TX
Active · expires Oct 6, 2026
CLIA Number45D2014388
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorBassem Arab
Laboratory Phone(210) 495-8280
Laboratory LocationSan Antonio Kidney Disease Center Stone Oak18707 Hardy Oak Blvd, Ste 530, San Antonio, TX 78258
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

BOERNE OB/GYN, P.A.
Obstetrics & Gynecology
134 MENGER SPGS, SUITE1360
BOERNE, TX 78006
Kendall County (830) 816-5222
DR. ANITA MYERS D.D.S.
Dentist
134 MENGER SPGS, #1310
BOERNE, TX 78006
Kendall County (830) 816-5160
HOLCOMB PEDIATRICS AND SPORTS MEDICINE
Pediatrics
134 MENGER SPGS, 1240
BOERNE, TX 78006
Kendall County (830) 816-5437
TX-I MEDICAL SERVICES PA
Emergency Medicine
134 MENGER SPGS
BOERNE, TX 78006
Kendall County (973) 251-1132
SAN ANTONIO ADVANCED MEDICAL GROUP PA
Family Medicine
134 MENGER SPGS, SUITE 1210
BOERNE, TX 78006
Kendall County (210) 698-9841
DR. MARISA SANDERA M.D.
Internal Medicine (Medical Oncology)
134 MENGER SPGS, SUITE 1120
BOERNE, TX 78006
Kendall County (210) 593-5700
FLOYD RIDGE EMERGENCY PHYSICIANS PLLC
Emergency Medicine
134 MENGER SPGS
BOERNE, TX 78006
Kendall County (469) 401-2386
ANITA C TONKING MYERS DDS
Dentist
134 MENGER SPGS, SUITE 1310
BOERNE, TX 78006
Kendall County (830) 816-5160

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 San Antonio Kidney Disease Center Physicians Group, P.L.L.C.'s NPI number?

The NPI number for San Antonio Kidney Disease Center Physicians Group, P.L.L.C. is 1699893610. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is San Antonio Kidney Disease Center Physicians Group, P.L.L.C. located?

San Antonio Kidney Disease Center Physicians Group, P.L.L.C. is located at 134 Menger Spgs Suite 1210, Boerne, TX 78006. The listed phone number is (210) 495-8280.

What is San Antonio Kidney Disease Center Physicians Group, P.L.L.C.'s specialty?

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

Does San Antonio Kidney Disease Center Physicians Group, P.L.L.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for San Antonio Kidney Disease Center Physicians Group, P.L.L.C. was last updated on April 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.