KIDNEY CENTER OF WALKER COUNTY LLC
NPI 1780007435
Internal Medicine - Nephrology in Huntsville, TX

Active since January 31, 2014
102 MEDICAL PARK LN, SUITE A, HUNTSVILLE, TX 77340(936) 294-0971(936) 294-0977 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kidney Center Of Walker County Llc NPPES

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

KIDNEY CENTER OF WALKER COUNTY LLC (NPI 1780007435) is a healthcare organization registered as a nephrology in Huntsville, Texas and active in the NPI registry since January 2014. The organization lists Dave S Khurana, Owner, as its authorized official.

NPPES Registry Identity

NPI1780007435
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CENTER OF WALKER COUNTY LLC
Location Address102 MEDICAL PARK LN, SUITE AHuntsville, TX 77340-4975
Mailing Address102 Medical Park Ln, Suite AHuntsville, TX 77340-4975 · (936) 294-0971 · Fax (936) 294-0977
Fax(936) 294-0977
Organization SubpartNo
Authorized OfficialDave S KhuranaOwner · (936) 294-0971
Enumeration DateJanuary 31, 2014
Last NPPES UpdateSeptember 22, 2014
✔ NPI 1780007435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · M1828
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.
102 MEDICAL PARK LN, Huntsville, TX 77340

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)

Kidney Center Of Walker County Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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 IDO20140717001410Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 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 Kidney Center Of Walker County LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1700945250
3212 ROBINSON CREEK PKWY STE 200
Huntsville, TX 77340
(936) 294-0971
✔ PECOS✔ Accepts Medicare0.3 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 Kidney Center Of Walker County LLC's NPI number?

The NPI number for Kidney Center Of Walker County LLC is 1780007435. It was assigned to this organization in the NPPES registry on January 31, 2014.

Where is Kidney Center Of Walker County LLC located?

Kidney Center Of Walker County LLC is located at 102 Medical Park Ln Suite A, Huntsville, TX 77340. The listed phone number is (936) 294-0971.

What is Kidney Center Of Walker County LLC's specialty?

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

Is Kidney Center Of Walker County LLC enrolled in Medicare?

Yes. Kidney Center Of Walker County LLC is registered in the Medicare PECOS enrollment system.

When is Kidney Center Of Walker County LLC'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 November 30, 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 Kidney Center Of Walker County LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Kidney Center Of Walker County LLC. 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 Kidney Center Of Walker County LLC was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.