OrganizationActive
Beaumont Kidney Specialists, PA
NPI 1730433038 · Nephrology Physician · Beaumont, TX
Provider details
- NPI number
- 1730433038
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Derderian, Owner(409) 554-0911
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2965 Harrison Street, Suite 317
Beaumont, TX 77702-1150
Phone: (409) 554-0911
Fax: (409) 554-0912
Street-level locationGet directions
Mailing address
2965 Harrison Street, Suite 317
Beaumont, TX 77702-1150
Registry dates
- Enumerated
- 2012-11-08
- Last updated
- 2012-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.