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VICTORIA KIDNEY & DIALYSIS ASSOCIATES
NPI 1770545873
Internal Medicine - Nephrology in Victoria, TX

Active since April 04, 2006
605 E SAN ANTONIO, SUITE 430E, VICTORIA, TX 77901(361) 576-0011(361) 576-4084 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Victoria Kidney & Dialysis Associates NPPES

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

VICTORIA KIDNEY & DIALYSIS ASSOCIATES (NPI 1770545873), doing business as Lloyd Lane Gober, Md, P.a., is a healthcare organization registered as a nephrology in Victoria, Texas and active in the NPI registry since April 2006. The organization lists Susan Mahan, Medical Manager, as its authorized official.

NPPES Registry Identity

NPI1770545873
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameVICTORIA KIDNEY & DIALYSIS ASSOCIATES
Location Address605 E SAN ANTONIO, SUITE 430EVictoria, TX 77901
Mailing Address605 E San Antonio, Suite 430eVictoria, TX 77901 · (361) 576-0011 · Fax (361) 576-4084
Phone(361) 576-0011
Fax(361) 576-4084
Organization SubpartNo
Authorized OfficialSusan MahanMedical Manager · (361) 576-0011
Enumeration DateApril 4, 2006
Last NPPES UpdateMarch 1, 2012
✔ NPI 1770545873 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.
605 E SAN ANTONIO, Victoria, TX 77901
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Other Names 1

Former Legal Business NameLloyd Lane Gober, Md, P.a.

Other Identifiers 4

Medicare PINCI4492TX
Medicare PIN00421KTX
Medicaid080560801TX
Medicaid080560802TX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Kidney & Dialysis Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Victoria Kidney & Dialysis Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Cody Crisman, AGACNP-BC
Nurse Practitioner
NPI 1134713555
605 E SAN ANTONIO ST STE 430E
Victoria, TX 77901
(361) 576-0011
✔ PECOSSame address
George Osuchukwu, M.D.
Nephrology
NPI 1962612887
605 E SAN ANTONIO ST STE 430E
Victoria, TX 77901
(361) 576-0011
✔ PECOS✔ Accepts MedicareSame address
Kelly Holman, FNP-C
Nurse Practitioner
NPI 1942552278
506 E SAN ANTONIO ST
Victoria, TX 77901
(361) 579-6500
✔ PECOS0.6 mi
Yong Du, M.D.
Nephrology
NPI 1538153259
605 E SAN ANTONIO ST SUITE 430E
Victoria, TX 77901
(361) 576-0011
✔ PECOS✔ Accepts Medicare0.6 mi
Azhar Malik, M.D.
Nephrology
NPI 1366436875
605 E SAN ANTONIO ST SUITE 430E
Victoria, TX 77901
(361) 567-0011
✔ PECOS✔ Accepts Medicare0.6 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 Victoria Kidney & Dialysis Associates's NPI number?

The NPI number for Victoria Kidney & Dialysis Associates is 1770545873. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider was formerly known as Lloyd Lane Gober, MD, P.A..

Where is Victoria Kidney & Dialysis Associates located?

Victoria Kidney & Dialysis Associates is located at 605 E San Antonio Suite 430E, Victoria, TX 77901. The listed phone number is (361) 576-0011.

What is Victoria Kidney & Dialysis Associates's specialty?

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

Is Victoria Kidney & Dialysis Associates enrolled in Medicare?

Yes. Victoria Kidney & Dialysis Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victoria Kidney & Dialysis Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Victoria Kidney & Dialysis 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. The largest specialties are Nephrology (3) and Nurse Practitioner (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Kidney & Dialysis Associates was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.