Usrc Cedar Hill, LLC

Primary specialty

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

Legal business name

USRC CEDAR HILL, LLC

Doing business as

Premier Dialysis - Cedar Hill

Practice address

458 N Highway 67
Suite 400
Cedar Hill, TX 75104-0004

Phone

(214) 444-7386

Fax

(214) 444-7389

NPI assigned

Mar 30, 2017

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/Authorized Official

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• Premier Dialysis - Cedar Hill Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Premier Cedar HillCCN 742511

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 6, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

Part of

US Renal Care Inc

Member of 1

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

• Dallas Renal Group PA

  • Nephrology Physician
  • Dallas, TX
  • NPI 1629186168

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahboob Ali Khan, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1508834599
  NPD (past)

Affiliated clinicians 1

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

• Ajay Shubhadeep Kallam, MD

  • Nephrology Physician
  • Dallas, TX
  • NPI 1306003124

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1043742919",
    "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",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N HIGHWAY 67",
            "address_2": "SUITE 400",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751040004",
            "telephone_number": "214-444-7386",
            "fax_number": "214-444-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC CEDAR HILL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE, INC.",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "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",
        "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": "Premier Dialysis - Cedar Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• True Providence Healthcare Services LLC (True Providence Healthcare Services)
• Gabriella A Turner
• U US Me Foundation One Collective
• Eugene C Uche
• Unity Wellness Clinic & Rehab of Cedar Hill
• V&M Corporation (Visions EMS)
• Bhakti Vahewala
• John Robert Valant, DDS
• Isabella Valdez
• Vance Healthcare Services

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cedar Hill, TX
• Providers in Cedar Hill, 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 Jul 24, 2023; 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.