East Texas Kidney Specialists,pa
NPI 1184689622 · Nephrology Physician · Longview, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Kidney Specialists,pa is a Nephrology Physician organization in Longview, TX (NPI 1184689622).
Provider details
- NPI number
- 1184689622
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tiffany Hagood, Practice Administrator(903) 234-9992
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
20 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
Other names (DBA / former)
- Doing business as
- East Texas Kidney Specialists
- Doing business as
- East Texas Kidney Specialists
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2021-10-06
- Certified
- 2021-10-06
Frequently asked questions
- What is East Texas Kidney Specialists,pa's NPI number?
- East Texas Kidney Specialists,pa's National Provider Identifier (NPI) is 1184689622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Kidney Specialists,pa?
- East Texas Kidney Specialists,pa is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is East Texas Kidney Specialists,pa located?
- East Texas Kidney Specialists,pa's practice location on file with NPPES is 3535 N Fourth St Ste 301, Longview, TX 75605-0037.
- What is East Texas Kidney Specialists,pa's phone number?
- The practice phone number listed in the NPPES registry for East Texas Kidney Specialists,pa is (903) 234-9992.
- Does East Texas Kidney Specialists,pa accept Medicare?
- East Texas Kidney Specialists,pa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Texas Kidney Specialists,pa?
- The authorized official listed on East Texas Kidney Specialists,pa's NPPES record is Tiffany Hagood, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Kidney Specialists,pa's NPI active?
- Yes — East Texas Kidney Specialists,pa's NPI (1184689622) is active in the NPPES registry as of the last update on 2021-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.