Southlake Kidney Specialists, PLLC
NPI 1003465790 · Nephrology Physician · Southlake, TX
Southlake Kidney Specialists, PLLC is a Nephrology Physician organization in Southlake, TX (NPI 1003465790).
Provider details
- NPI number
- 1003465790
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sharmila Devidoss, Physician(817) 733-9367
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-05
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Frequently asked questions
- What is Southlake Kidney Specialists, PLLC's NPI number?
- Southlake Kidney Specialists, PLLC's National Provider Identifier (NPI) is 1003465790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Kidney Specialists, PLLC?
- Southlake Kidney Specialists, PLLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Southlake Kidney Specialists, PLLC located?
- Southlake Kidney Specialists, PLLC's practice location on file with NPPES is 630 N Kimball Ave Ste 100, Southlake, TX 76092-6886.
- What is Southlake Kidney Specialists, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southlake Kidney Specialists, PLLC is (817) 733-9367.
- Who is the authorized official for Southlake Kidney Specialists, PLLC?
- The authorized official listed on Southlake Kidney Specialists, PLLC's NPPES record is Sharmila Devidoss, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Kidney Specialists, PLLC's NPI active?
- Yes — Southlake Kidney Specialists, PLLC's NPI (1003465790) is active in the NPPES registry as of the last update on 2020-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.