Lakewood Primary Care and Wellness monitors kidney health and early chronic kidney disease (CKD) in North Dallas at 8210 Walnut Hill Lane, on the Texas Health Presbyterian Dallas campus. Dr. Rajan Kohli, MD, a board-certified family physician, checks kidney function with simple blood and urine tests, controls the two conditions that most often damage kidneys — diabetes and high blood pressure — reviews your medications, and refers to a nephrologist when it is needed. This care is covered by Medicare and most insurance. Call or text 214-810-4331.
Medically reviewed by Rajan Kohli, MD, board-certified Family Medicine — Lakewood Primary Care and Wellness, North Dallas.
What is chronic kidney disease (CKD)?
Chronic kidney disease is a gradual loss of the kidneys' ability to filter the blood. It is common, it is often silent in its early stages, and it is usually found on routine lab work before any symptoms appear — which is exactly why monitoring matters. The two leading causes are diabetes and high blood pressure, both of which are managed in primary care.
How kidney function is checked
Two simple tests do most of the work, and they are part of ordinary primary care lab panels:
| Test | What it measures |
|---|---|
| eGFR (blood) | An estimate of how well the kidneys are filtering |
| Urine albumin-to-creatinine ratio (uACR) | Protein leaking into the urine — an early sign of kidney stress |
CKD is staged from the eGFR and urine results together, and a single abnormal value is repeated before any conclusion is drawn — interpretation is individual to you. The NIDDK and the National Kidney Foundation explain what these numbers mean.
Protecting your kidneys
Most of what protects kidneys is good primary care done consistently. That means keeping blood pressure at target, keeping diabetes and A1C in range, reviewing your medications so nothing is quietly straining the kidneys, and being thoughtful about everyday anti-inflammatory use. We manage these together as part of chronic disease care rather than in separate offices.
When you need a nephrologist
Early and stable kidney disease is monitored and managed well in primary care. When kidney function is declining quickly, reaches an advanced stage, or raises questions that need specialist testing, we refer you to a nephrologist and stay coordinated with that care — you keep one medical home for everything else.
Does Medicare and insurance cover kidney care?
Yes. Kidney monitoring and CKD management are covered medical care under Medicare and most commercial plans, and the blood and urine tests are standard lab work. Insurance participation can change — call or text 214-810-4331 to confirm your specific plan before your visit.
