BEAUMONT NEPHROLOGY ASSOCIATES — NPI 1710157722 (Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist) in JASPER, TX)

CMS-1500 Box 24J / 33a • NPI

1710157722

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207RN0300X (CMS 11)

Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)

Box 32 Service Location & ZIP+4

930 MARVIN HANCOCK DR, ROOM A, JASPER, TX, 75951-4752

✓ 9-Digit EDI 837 ZIP+4 (75951-4752)

Practice Phone & Referral Fax

(409) 212-9240

Fax: (409) 212-9239

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710157722 (BEAUMONT NEPHROLOGY ASSOCIATES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710157722` (NPI-2 Organization / Facility)
Provider / Legal Name	BEAUMONT NEPHROLOGY ASSOCIATES
Plain-English Specialty	Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist) NUCC Code: `207RN0300X` (Internal Medicine, Nephrology)
Certifying / Licensing Body	American Board of Internal Medicine — Nephrology
Practice Location Address	930 MARVIN HANCOCK DR, ROOM A, JASPER, TX, 75951-4752
Practice Telephone / Fax	Tel: (409) 212-9240 \| Fax: (409) 212-9239
Administrative Mailing Address	2955 HARRISON ST, BEAUMONT, TX, 77702-1154
Enumeration & Last Sync	Enumerated: 2008-03-05 \| CMS Record Updated: 2010-06-04
Authorized Official	JOSE LOZANO (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

930 MARVIN HANCOCK DR, ROOM A, JASPER, TX, 75951-4752

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Plain-English Taxonomy & CMS Crosswalk (207RN0300X)

What Does Taxonomy Code 207RN0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RN0300X translates to:
"Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 39 (Physician/Nephrology)
Certifying / Accrediting Authority: American Board of Internal Medicine — Nephrology
Clinical Scope: Declining kidney function (high creatinine / low eGFR), protein or blood in urine, recurrent kidney stones, electrolyte imbalances, or severe hypertension.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BEAUMONT NEPHROLOGY ASSOCIATES)

Typical CPT / Diagnostic Procedures:

Chronic Kidney Disease (eGFR & Albuminuria) Staging & Renoprotective Planning
24-Hour Urine Metabolic Evaluation for Recurrent Kidney Stones
Outpatient Hemodialysis & Peritoneal Dialysis Oversight (CPT 90960)
Renal Biopsy Evaluation & Secondary Hypertension Workup

Common Therapeutic Classes:

SGLT2 Inhibitors (Dapagliflozin, Empagliflozin) & Finerenone for CKD
ACE Inhibitors / ARBs for Proteinuria Reduction
Potassium Citrate & Thiazide Diuretics (Kidney Stone Prevention)
Erythropoiesis-Stimulating Agents & Phosphate Binders

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RN0300X` — Internal Medicine, Nephrology Plain English: Board-Certified Nephrologist (Kidney Function, Stones & Dialysis Specialist)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BEAUMONT NEPHROLOGY ASSOCIATES (NPI #1710157722)