NPI age
20 years
Enumerated 2005-06-08
● Active Type 2 · Organization
Kidney Treatment Center Northwest P A
Kidney Treatment Center Northwest P A is 1 of 1165 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Medola
Supervisor
Last NPPES update
2012-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active clinic/center providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
3939 Medical Dr, Ste 110
San Antonio, TX 782292292
Mailing address
3939 Medical Dr, Ste 110
San Antonio, TX 782292292
Authorized official
Jessica J Medola
Supervisor
📞 2106921515
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Paris Brinkley, MD Family Medicine NPI 1700867801
- Bruce Brockway, MD Internal Medicine NPI 1336221555
- Kimberly Ellis, M.D. Family Medicine NPI 1700220936
- Maria Fernandez Falcon, MD Pediatrics NPI 1184885295
- Eliot Lopez, PHD Psychologist NPI 1053865816
- Amanda Schultz, MD Family Medicine NPI 1922412568
- April Shaw, PA-C Physician Assistant NPI 1609427194
- Helen Starkweather, R.N., M.S.N., F.N.P. Nurse Practitioner NPI 1831190578
- Monica Trevino, FNP Nurse Practitioner NPI 1871803262
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1452880-02 | |
| 05 (TX) | 0943250-02 | |
| 01 (TX) | HH6407 | BCBS |
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.