SPACE CITY ASSOCIATES OF NEPHROLOGY, PA – NPI #1164645511
Internal Medicine

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.

SPACE CITY ASSOCIATES OF NEPHROLOGY, PA is a provider located in WEBSTER, TX. NPPES has assigned the NPI number 1164645511 to SPACE CITY ASSOCIATES OF NEPHROLOGY, PA on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Feb 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPACE CITY ASSOCIATES OF NEPHROLOGY, PA below.

NPI Profile for
SPACE CITY ASSOCIATES OF NEPHROLOGY, PA

NPI Number
1164645511
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPACE CITY ASSOCIATES OF NEPHROLOGY, PA
Primary location
560 BLOSSOM ST STE C
WEBSTER, TX 77598-4237
Phone: (832) 905-6141 Fax: (832) 200-3259
Mailing address
2301 CARINA CT
LEAGUE CITY, TX 77573-2879
Phone: (281) 554-5445 Fax: (281) 554-5445
Organization Subpart
No
Authorized Official
MAHENDRA AGRAHARKAR
MEDICAL DIRECTOR
Phone: (832) 905-6141
Updated
Certification Date
Feb 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SPACE CITY ASSOCIATES OF NEPHROLOGY, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX193620501
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
TX

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.