San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
NPI 1700904612ActiveOrganization· Internal Medicine, Nephrology· Live Oak, TX
Internal Medicine, Nephrology in Live Oak, Texas, registered in NPPES in March 2007. The authorized official on file is Clay Roby, Executive Director.
Overview
| NPI | 1700904612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2007 |
| Last updated in NPPES | Apr 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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