Usrc Boynton Beach, LLC

Primary specialty

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

Legal business name

USRC BOYNTON BEACH, LLC

Practice address

1500 Gateway Blvd
Ste 190
Boynton Beach, FL 33426-7219

Phone

(561) 734-1184

Fax

(561) 735-9879

NPI assigned

Jul 14, 2015

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

Mr. Thomas L. Weinberg

Title

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Boynton Beach Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Usrc Boynton Beach DialysisCCN 682589

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Dec 16, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

21

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

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Affiliated clinicians 3

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

• David S Amrose, MD

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1548230154

  Dialysis facility

  Care Compare affiliation Name & address match
• Armen Margaryan, M.D.

  • Nephrology Physician
  • Delray Beach, FL
  • NPI 1134394067

  Dialysis facility

  Care Compare affiliation Name & address match
• Lon M Sadowsky, D.O.

  • Nephrology Physician
  • Delray Beach, FL
  • NPI 1881806206

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1104200757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LEGACY CIR",
            "address_2": "SUITE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245966",
            "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": "1500 GATEWAY BLVD",
            "address_2": "STE 190",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267219",
            "telephone_number": "561-734-1184",
            "fax_number": "561-735-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC BOYNTON BEACH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2015-07-14",
        "last_updated": "2016-12-09",
        "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": "214-736-2730",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Boynton Beach Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University Internal Medicine of Palm Beach LLC
• Otto R Urbay, FNP-C
• Jose R Urena Jr., DPT
• Urology Center of South Florida PA
• Urology Group of Florida LLC
• Usv Optical Inc.
• Parichart Vaikayee, DPM, FACFAS
• Rama Vaitla, MD
• Ginette M Valcourt
• Vivianne Valdes Perez

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.