Usrc Dialysis at Home West LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

USRC DIALYSIS AT HOME WEST LLC

Doing business as

US Renal Care Dialysis at Home West

Practice address

12011 State Highway 151 Ste 222
San Antonio, TX 78251-1230

Phone

(726) 800-7090

Fax

(726) 800-7075

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

US RENAL CARE INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• US RENAL CARE DIALYSIS AT HOME WEST Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Dialysis at Home West TCUCCN 742581

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Apr 15, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Networks

• devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Reza Abbas Ali, MD

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1669625448

  Dialysis facility

  Care Compare affiliation Name & address match
• Varshasb Broumand, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1154329720

  Dialysis facility

  Care Compare affiliation Name & address match
• Saqib Z Syed, MD

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1942436522

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1003422171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 STATE HIGHWAY 151 STE 222",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511230",
            "telephone_number": "726-800-7090",
            "fax_number": "726-800-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC DIALYSIS AT HOME WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC.",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US RENAL CARE DIALYSIS AT HOME WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usacs Emergency Medicine Services of Texas, PLLC
• Richard P. Usatine, M.D.
• Usha Renganathan MD PLLC
• Samman Usman
• Usrc Datapoint, LLC (US Renal Care Datapoint Dialysis)
• Usrc Gateway Dialysis LLC (US Renal Care Gateway Dialysis)
• Usrc Hill Country, LLC (US Renal Care Hill Country Dialysis)
• Usrc Medical Center, LLC (U. S. Renal Care Medical Center Dialysis)
• Usrc Sa Bandera Road LLC (US Renal Care Bandera Road Dialysis)
• Usrc Sa Houston Street, LLC (US Renal Care Houston Street Dialysis)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.