Active NPI
Usrc Eastern Iowa, LLC
Doing business as Mercy Dialysis - Plaza
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cedar Rapids, IA
National Provider Identifier
1104450972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC EASTERN IOWA, LLC
- Doing business as
- Mercy Dialysis - Plaza
- Practice address
- 5264 Council St NE
Cedar Rapids, IA 52402-2471 - Phone
- (319) 398-6423
- NPI assigned
- Mar 2, 2020
- 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
- Chairman
- Phone
- (214) 736-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
5264 Council St NE
Cedar Rapids, IA 52402-2471
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Phone (214) 736-2700
Other names 1
- Mercy Dialysis - Plaza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201019002438 | IA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1759705122 | Practice locations: Cedar Rapids, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2179765 | Usrc Eastern Iowa, LLC Dba Mercy Dialysis- Plaza | Certificate of waiver | Mar 1, 2028 |
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 Mercy Family Counseling, Mercy Psychiatric
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1104450972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 LEGACY CIR STE 900",
"city": "PLANO",
"state": "TX",
"postal_code": "750245982",
"telephone_number": "214-736-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5264 COUNCIL ST NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524022471",
"telephone_number": "319-398-6423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC EASTERN IOWA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"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"
},
"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": "Mercy Dialysis - Plaza",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.