Active NPI
Dsi Lutz, LLC
Doing business as U.S. Renal Care Lutz Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tampa, FL
National Provider Identifier
1033599766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DSI LUTZ, LLC
- Doing business as
- U.S. Renal Care Lutz Dialysis
- Practice address
- 3421 N Lakeview Dr
Tampa, FL 33618-4910 - Phone
- (615) 234-0951
- NPI assigned
- Jun 8, 2015
- Last updated
- Feb 15, 2016
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3421 N Lakeview Dr
Tampa, FL 33618-4910
Mailing address
424 Church St
Suite 1900
Nashville, TN 37219-2301
Phone (615) 777-8200
Other names 1
- U.S. Renal Care Lutz Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150806009716 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3971817875 | Practice locations: Tampa, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Usrc North Tampa Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 19, 2015
- Medicare certification status
- Active
- Chain
- Diversified Specialty Institutes (DSI)
- Dialysis stations
- 17
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba U.S. Renal Care Bryan Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bryan, TX
- NPI 1578839080
Member Of
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1033599766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 CHURCH ST",
"address_2": "SUITE 1900",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192301",
"telephone_number": "615-777-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 N LAKEVIEW DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184910",
"telephone_number": "615-234-0951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DSI LUTZ, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2015-06-08",
"last_updated": "2016-02-15",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Lutz Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.