SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1720106636
Internal Medicine - Nephrology in Kenedy, TX

Active since March 27, 2007CLIA Certified · 2 labs
3349 S HIGHWAY 181, KENEDY, TX 78119(830) 216-2606(830) 216-7920 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 1720106636) is a healthcare organization registered as a nephrology in Kenedy, 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

NPI1720106636
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address3349 S HIGHWAY 181Kenedy, TX 78119-5241
Mailing Address7142 San Pedro Ave, Ste 120San Antonio, TX 78216-6256 · (210) 481-7453 · Fax (210) 481-7463
Fax(830) 216-7920
Organization SubpartNo
Authorized OfficialClay RobyExecutive Director · (210) 481-7453
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 10, 2014
NPI 1720106636 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
3349 S HIGHWAY 181, Kenedy, TX 78119

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) 45D2014386

San Antonio Kidney Disease Center Physicians Group PLLC Kenedy Office · Kenedy, TX
Active · expires Oct 6, 2026
CLIA Number45D2014386
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorTerrance Fried
Laboratory Phone(830) 216-2606
Laboratory LocationSan Antonio Kidney Disease Center Physicians Group PLLC Kenedy Office3349 South Hwy 181 Bonnesetter Bldg Ste A, Kenedy, TX 78119
CLIA data matches this NPI record on: Address 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) 45D2024742

San Antonio Kidney Disease Center Physicians, PLLC Floresville · Floresville, TX
Active · expires May 22, 2027
CLIA Number45D2024742
Laboratory TypePharmacy
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorWesley B. Calhoun
Laboratory Phone(830) 216-2606
Laboratory LocationSan Antonio Kidney Disease Center Physicians, PLLC Floresville104 Turner Lane, Floresville, TX 78114
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 6

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

Home Health
3349 S HIGHWAY 181, SUITE B
KENEDY, TX 78119
Family Medicine
3349 S HIGHWAY 181
KENEDY, TX 78119
General Acute Care Hospital (Critical Access)
3349 S HIGHWAY 181
KENEDY, TX 78119
Specialist
3349 S HIGHWAY 181, BONNSTETTER BUILDING, SUITE A
KENEDY, TX 78119
Durable Medical Equipment & Medical Supplies
3349 S HIGHWAY 181
KENEDY, TX 78119
Family Medicine
3349 S HIGHWAY 181, SUITE 3
KENEDY, TX 78119

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 1720106636. 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 3349 S Highway 181, Kenedy, TX 78119. The listed phone number is (830) 216-2606.

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.