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BEAUMONT NEPHROLOGY ASSOCIATES
NPI 1710157722
Internal Medicine - Nephrology in Jasper, TX

Active since March 05, 2008
930 MARVIN HANCOCK DR, ROOM A, JASPER, TX 75951(409) 212-9240(409) 212-9239 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Beaumont Nephrology Associates NPPES

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

BEAUMONT NEPHROLOGY ASSOCIATES (NPI 1710157722) is a healthcare organization registered as a nephrology in Jasper, Texas and active in the NPI registry since March 2008. The organization lists Jose Lozano, President, as its authorized official.

NPPES Registry Identity

NPI1710157722
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBEAUMONT NEPHROLOGY ASSOCIATES
Location Address930 MARVIN HANCOCK DR, ROOM AJasper, TX 75951-4752
Mailing Address2955 Harrison St, #100Beaumont, TX 77702-1154 · (409) 212-9240 · Fax (409) 212-9239
Phone(409) 212-9240
Fax(409) 212-9239
Organization SubpartNo
Authorized OfficialJose LozanoPresident · (409) 212-9240
Enumeration DateMarch 5, 2008
Last NPPES UpdateJune 4, 2010
✔ NPI 1710157722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
930 MARVIN HANCOCK DR, Jasper, TX 75951
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaumont Nephrology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20051026000086Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beaumont Nephrology Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ajith Kuriakose, MD
Nephrology
NPI 1073772224
710 S 8TH ST STE A
Beaumont, TX 77701
(409) 212-9240
✔ PECOS✔ Accepts Medicare58 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 Beaumont Nephrology Associates's NPI number?

The NPI number for Beaumont Nephrology Associates is 1710157722. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Beaumont Nephrology Associates located?

Beaumont Nephrology Associates is located at 930 Marvin Hancock Dr Room A, Jasper, TX 75951. The listed phone number is (409) 212-9240.

What is Beaumont Nephrology Associates's specialty?

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

Is Beaumont Nephrology Associates enrolled in Medicare?

Yes. Beaumont Nephrology Associates is registered in the Medicare PECOS enrollment system.

When is Beaumont Nephrology Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Beaumont Nephrology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Beaumont Nephrology Associates. 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 Beaumont Nephrology Associates was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.