Usrc Petersburg, LLC

Primary specialty

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

Legal business name

USRC PETERSBURG, LLC

Practice address

1964 S Crater Rd
Petersburg, VA 23805-2716

Phone

(804) 733-3847

Fax

(804) 733-3530

NPI assigned

Nov 25, 2014

Last updated

Jun 25, 2015By the provider in NPPES

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

SVP, General Counsel

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Usrc Petersburg DialysisCCN 492684

Overall star rating

3.0 of 5

Ownership

Profit

Certified

May 27, 2015

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

Locations

Affiliated clinicians 2

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

• Sajid Naveed, MD

  • Nephrology Physician
  • Petersburg, VA
  • NPI 1316127939

  Dialysis facility

  Care Compare affiliation Name & address match
• Vineeta Sood, MD

  • Nephrology Physician
  • Colonial Heights, VA
  • NPI 1215120183

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1073910600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 DALLAS PKWY",
            "address_2": "SUITE 350",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934370",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052716",
            "telephone_number": "804-733-3847",
            "fax_number": "804-733-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC PETERSBURG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valuing Inquiring People Behavioral Health Services, LLC
• Deborah Vanderpool, RD, CDE
• Vanessa O. Johnson,M.D.,PC
• Yuliia Varava, MD
• Michaela Varys, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Petersburg, VA
• Providers in Petersburg, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.