Alaska Dialysis - Laurel Street, LLC

Primary specialty

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

Legal business name

ALASKA DIALYSIS - LAUREL STREET, LLC

Practice address

3950 Laurel St
Anchorage, AK 99508-5366

Phone

(907) 563-3149

NPI assigned

Jan 17, 2022

Organization subpart

Yes

Parent organization

U.S. 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) 736-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Listed as

Usrc Laurel StreetCCN 022500

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

38

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Nskhc, LLC

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1508286493

  Member Of

  NPD member

Affiliated clinicians 5

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

• Rahul Regi Abraham, MD

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1609486190

  Dialysis facility

  Care Compare affiliation Name & address match
• Shuang Ying Bao, M.D.

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1164736930

  Dialysis facility

  Care Compare affiliation Name & address match
• Stefano Emili, MD

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1558319434

  Dialysis facility

  Care Compare affiliation Name & address match
• David M Lefler Jr., DO

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1487609236

  Dialysis facility

  Care Compare affiliation Name & address match
• Osman Arif Yilmam, MD

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1275029076

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1003567512",
    "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": "3950 LAUREL ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085366",
            "telephone_number": "907-563-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA DIALYSIS - LAUREL STREET, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "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": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anchorage, AK
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.