Usrc MHP, LLC

Primary specialty

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

Legal business name

USRC MHP, LLC

Doing business as

U.S. Renal Care MHP Dialysis

Practice address

2460 Intelliplex Dr Ste 120
Shelbyville, IN 46176

Phone

(317) 395-2505

Fax

(317) 395-2506

NPI assigned

May 3, 2019

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

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

USRC MHP DialysisCCN 152702

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 22, 2019

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

Member of 2

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

• Major Hospital

  • Skilled Nursing Facility
  • Greensburg, IN
  • NPI 1215207584

  Member Of

  NPD member
• Medworks Inc

  • Community/Retail Pharmacy
  • Shelbyville, IN
  • NPI 1710070156

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Jorge M Diego, MD

  • Nephrology Physician
  • Shelbyville, IN
  • NPI 1669400198

  Dialysis facility

  Care Compare affiliation Name & address match
• Anupama Mohanram, M.D.

  • Nephrology Physician
  • Shelbyville, IN
  • NPI 1083679724

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1043875180",
    "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": "2460 INTELLIPLEX DR STE 120",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-395-2505",
            "fax_number": "317-395-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MHP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "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": [
        {
            "organization_name": "U.S. Renal Care MHP Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Trolian, PA-C
• Amanda Louise Turner, MD
• United RX LLC
• Kaelee Urban
• Urology of Indiana L.L.C.
• Arise Uwizeyimana
• Pamela Vandermark, NP
• Megan Alexis Vanover, PHARMD
• Rylee McKinsey Vanover
• Alexander John Verbarg

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.