Usrc Plano LLC

Primary specialty

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

Legal business name

USRC PLANO LLC

Doing business as

U.S. Renal Care Plano Dialysis

Practice address

4108 W 15TH St Ste 100
Plano, TX 75093-5849

Phone

(469) 209-0355

Fax

(469) 209-0925

NPI assigned

Jul 5, 2012

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs 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

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care Plano Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc Plano DialysisCCN 672737

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 10, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

Affiliated clinicians 1

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

• Nadeem Siddiqui, M.D.

  • Nephrology Physician
  • Plano, TX
  • NPI 1417915844

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1013272194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 W 15TH ST STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935849",
            "telephone_number": "469-209-0355",
            "fax_number": "469-209-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC PLANO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2012-07-05",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343397101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Plano Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• US Gastro Inc (GastroCare TX)
• US Medical Massage Professionals, PLLC (Medical Massage of Plano)
• USA Vitalmed Inc.
• Usrc Classic City LLC (U.S. Renal Care Classic City Dialysis)
• Usrc Plano Dexter, LLC (Premier Dialysis - Plano Dexter)
• Kyle Andrew Utne, MA, ATC, PTA
• David Etin Osa Uwubanmwen
• Cynthia Ifunanyachukwu Uzoukwu, DDS
• V Eye P Plano P.a (V Eye P Eyecare & Eyewear)
• Thara Vadakedom, PHARM D

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Plano, TX
• Providers in Plano, 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 May 13, 2015; 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.