| Kidney Care Associates Llp | |
|
2741 Fm 691 Denison TX 75020 | |
| (903) 893-7170 | |
| (903) 893-4372 |
| Full Name | Kidney Care Associates Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2741 Fm 691, Denison, Texas |
| Authorized Official Name and Position | Michelle Roppolo (OFFICE MANAGER) |
| Authorized Official Contact | 9038937170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Care Associates Llp 2741 Fm 691 Denison TX 75020 Ph: (903) 893-7170 | Kidney Care Associates Llp 2741 Fm 691 Denison TX 75020 Ph: (903) 893-7170 |
| NPI Number | 1265477152 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 01/13/2026 |
| Medicare PECOS PAC ID | 9830197532 |
|---|---|
| Medicare Enrollment ID | O20061113000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265477152 | NPI | - | NPPES |
| 185866401 | Medicaid | TX | |
| 200118650A | Medicaid | OK | |
| 122390106 | Medicaid | TX | |
| 166853502 | Medicaid | TX | |
| 200118660A | Medicaid | OK | |
| 118143005 | Medicaid | TX | |
| 185865601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G0858 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | G0858 (Texas) | Primary |
| Provider Name | Douglas P Myers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457302127 PECOS PAC ID: 0547249286 Enrollment ID: I20040716000389 |
| Provider Name | David G Reynolds |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801894365 PECOS PAC ID: 3274594916 Enrollment ID: I20041029000370 |
| Provider Name | Wirasat Hasnain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679574891 PECOS PAC ID: 0446274286 Enrollment ID: I20130726000563 |
| Provider Name | Imran Shafique |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326238593 PECOS PAC ID: 7214087485 Enrollment ID: I20150115002107 |
| Provider Name | Vinod Prasad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184841603 PECOS PAC ID: 9537253117 Enrollment ID: I20151008001539 |
| Provider Name | Luis D Torres |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386874808 PECOS PAC ID: 6406084755 Enrollment ID: I20171229000844 |
| Provider Name | Yasir Lal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225220783 PECOS PAC ID: 7315010527 Enrollment ID: I20240118004127 |
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