SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1730207465
Internal Medicine - Nephrology in Floresville, TX

NPI Status: Active since March 27, 2007

Contact Information

1301 HOSPITAL BLVD
FLORESVILLE, TX
ZIP 78114
Phone: (830) 216-2606
Fax: (830) 216-4037

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 45D2024742
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 05-22-2027

About SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.

This page provides the complete NPI Profile along with additional information for San Antonio Kidney Disease Center Physicians Group, P.l.l.c., an internist established in Floresville, Texas operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1730207465 assigned on March 2007. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Clay Roby (Director Of Operations)

NPI
1730207465
Provider Name
SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Entity Type
Organization
Location Address
1301 HOSPITAL BLVD FLORESVILLE, TX 78114
Location Phone
(830) 216-2606
Location Fax
(830) 216-4037
Mailing Address
7142 SAN PEDRO AVE STE 120 SAN ANTONIO, TX 78216
Mailing Phone
(210) 481-7453
Mailing Fax
(830) 216-4037
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2007
Last Update Date
08-22-2020
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An internist like San Antonio Kidney Disease Center Physicians Group, P.l.l.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAY ROBY

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(210) 481-7463

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2024742
Facility Type
Pharmacy
Certificate Effective Date
May 23, 2025
Certificate Expiration Date
May 22, 2027
Laboratory Director
WESLEY B. CALHOUN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to San Antonio Kidney Disease Center Physicians Group, P.l.l.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730207465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27604014412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 0 + 1 + 4 + 4 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1730207465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093952863ABSOLUTE OF SA AMBULANCE SERVICE, INC.
Organization
Ambulance1301 HOSPITAL BLVD UNIT 2
FLORESVILLE, TX 78114
(830) 393-4271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730207465, enumerated in the NPI registry as an "organization" on March 27, 2007

The provider is located at 1301 Hospital Blvd Floresville, Tx 78114 and the phone number is (830) 216-2606

This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider's CLIA number is 45D2024742 for a "pharmacy" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on March 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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