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Dr. Uday Khosla, MD

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Specializes in: Adult Nephrology

University of Cincinnati College of Medicine (1999)

Professional interests include: hypertension (high blood pressure), dialysis, kidney stones

1724 Richmond Avenue
Houston, TX 77098

(713) 597-5131

Dr. Uday Khosla, MD is a nephrologist in Houston, TX specializing in adult nephrology. He graduated from University of Cincinnati College of Medicine in 1999 and has 25 years of experience. Dr. Uday Khosla, MD is affiliated with HCA Houston Healthcare, HCA Houston Healthcare Medical Center and REMIX MEDICAL PLLC.

Office Locations

Address:

1724 Richmond Avenue
Houston, TX 77098

Some issues Dr. Uday Khosla, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

dialysis	248
doctor visit	268
hospital care	1937
inpatient care	1938
nursing home care	91

**Gender**
Male	263
Female	283

**Ethnicity**
Non-Hispanic White	119
Black	297
Hispanic	114
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	139
From 75 to 84	109
85 and over	44
Less than 65	254

Hypertension	75
High Cholesterol	69
Stroke	17
Ischemic Heart Disease	69
Depression	32
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	65
Chronic Obstructive Pulmonary Disease	30
Diabetes	71
Dementia	23
Cancer	10

dialysis	277
doctor visit	291
hospital care	1579
inpatient care	1580

**Gender**
Male	240
Female	284

**Ethnicity**
Non-Hispanic White	114
Black	277
Hispanic	109
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	134
From 75 to 84	92
85 and over	53
Less than 65	245

Hypertension	75
High Cholesterol	72
Stroke	16
Ischemic Heart Disease	72
Depression	33
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	7
Atrial Fibrilation	16
Heart Failure	64
Chronic Obstructive Pulmonary Disease	28
Diabetes	74
Dementia	23
Cancer	10

dialysis	273
doctor visit	155
hospital care	1894
inpatient care	1895

**Gender**
Male	534
Female	532

**Ethnicity**
Non-Hispanic White	252
Black	548
Hispanic	226
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	282
From 75 to 84	178
85 and over	102
Less than 65	504

Hypertension	75
High Cholesterol	74
Stroke	18
Ischemic Heart Disease	74
Depression	34
Chronic Kidney Disease	75
Asthma	20
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	71
Chronic Obstructive Pulmonary Disease	31
Diabetes	75
Dementia	25
Cancer	9

dialysis	55
doctor visit	290
hospital care	1935
inpatient care	1936

**Gender**
Male	224
Female	211

**Ethnicity**
Non-Hispanic White	97
Black	235
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	112
From 75 to 84	73
85 and over	42
Less than 65	208

Hypertension	75
High Cholesterol	74
Stroke	15
Ischemic Heart Disease	71
Depression	33
Chronic Kidney Disease	75
Asthma	28
Osteoperosis	6
Atrial Fibrilation	18
Heart Failure	69
Chronic Obstructive Pulmonary Disease	26
Diabetes	74
Dementia	24
Cancer	10

dialysis	49
doctor visit	364
hospital care	3599
inpatient care	3600

**Gender**
Male	205
Female	223

**Ethnicity**
Non-Hispanic White	100
Black	229
Hispanic	82
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	72
85 and over	55
Less than 65	195

Hypertension	75
High Cholesterol	71
Stroke	18
Ischemic Heart Disease	70
Depression	32
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	7
Atrial Fibrilation	18
Heart Failure	66
Chronic Obstructive Pulmonary Disease	27
Diabetes	73
Dementia	29
Cancer	12

dialysis	22
doctor visit	247
hospital care	4480
inpatient care	4481

**Gender**
Male	205
Female	233

**Ethnicity**
Non-Hispanic White	129
Black	221
Hispanic	74
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	80
85 and over	62
Less than 65	163

Hypertension	75
High Cholesterol	75
Stroke	18
Ischemic Heart Disease	68
Depression	34
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	66
Chronic Obstructive Pulmonary Disease	31
Diabetes	70
Dementia	32
Cancer	12

doctor visit	224
hospital care	5489
inpatient care	5478
outpatient care	11

**Gender**
Male	279
Female	269

**Ethnicity**
Non-Hispanic White	183
Black	264
Hispanic	84
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	177
From 75 to 84	114
85 and over	71
Less than 65	186

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	71
Depression	39
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	9
Atrial Fibrilation	24
Heart Failure	69
Chronic Obstructive Pulmonary Disease	27
Diabetes	69
Dementia	34
Cancer	12

chronic care	177
doctor visit	159
hospital care	1122
inpatient care	1123

**Gender**
Male	182
Female	167

**Ethnicity**
Non-Hispanic White	112
Black	168
Hispanic	58
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	122
From 75 to 84	72
85 and over	41
Less than 65	114

Hypertension	75
High Cholesterol	75
Stroke	20
Ischemic Heart Disease	74
Depression	39
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	6
Atrial Fibrilation	21
Heart Failure	70
Chronic Obstructive Pulmonary Disease	32
Diabetes	72
Dementia	35
Cancer	12

chronic care	82
doctor visit	288
hospital care	2246
inpatient care	2247

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Uday Khosla, MD for Medicare patients.

The highest averages for the top procedures that Dr. Uday Khosla, MD treated as a nephrologist in Houston, TX were hospital care, inpatient care, dialysis and chronic care.

chronic care	129
dialysis	154
doctor visit	255
hospital care	2698
inpatient care	2697
nursing home care	91
outpatient care	11

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Uday Khosla, MD.

**Gender**
Male	213
Female	220

**Ethnicity**
Black / African American	223
Asian / Pacific Islander	0
Non-Hispanic White	110
Native American / Alaskan Native	0
Hispanic	74
Other	0

**Age**
75 to 84	79
85 and over	47
Less than 65	186
65 to 74	120

Average of Total of Conditions of Medicare patients treated by Dr. Uday Khosla, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Uday Khosla, MD treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	60
High Cholesterol	58
Stroke	13
Ischemic Heart Disease	56
Depression	27
Chronic Kidney Disease	60
Asthma	12
Osteoporosis	5
Heart Failure	54
Chronic Obstructive Pulmonary Disease	23
Diabetes	57
Atrial Fibrillation	15
Cancer	8
Dementia	22

Education & Training

Dr. Uday Khosla, MD graduated from University of Cincinnati College of Medicine in 1999. He completed residency at Baylor College of Medicine Affiliated Hospitals. He has a state license in Texas.

Medical School: University of Cincinnati College of Medicine (1999)

Residency: Baylor College of Medicine Affiliated Hospitals (2002)

Licensed In: Texas

Affiliations & Hospitals

Dr. Uday Khosla, MD is associated with these hospitals and organizations:

HCA Houston Healthcare

HCA Houston Healthcare Medical Center

REMIX MEDICAL PLLC

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General Payments

These charts describe general payments received by Dr. Uday Khosla, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Horizon Therapeutics plc	$2,816 KRYSTEXXA $2,816
Vifor Pharma, Inc.	$293 VELTASSA $293
Relypsa, Inc.	$141 VELTASSA $141
AstraZeneca Pharmaceuticals LP	$125 LOKELMA $111	FARXIGA $14
Melinta Therapeutics, Inc.	$114 MENOCIN $71	Baxdela $42
Other	$1,018 Auryxia $179	GIMOTI $85	Sensipar $81	ACTHAR $67	Vascular $59	Other $547

**Types of Payments**
Food and Beverage	$2,336
Honoraria	$2,160
Education	$10

Biography

Dr. Uday Khosla sees patients in Houston, TX. His medical specialty is adult nephrology. Dr. Khosla obtained his medical school training at the University of Cincinnati College of Medicine and performed his residency at a hospital affiliated with Baylor College of Medicine. Areas of particular interest for Dr. Khosla include kidney stones, hypertension (high blood pressure), and dialysis. He is professionally affiliated with HCA Houston Healthcare. He has an open panel in Houston, TX according to Doctor.com.