Organization Active NPI

Dialysis Newco LLC

Doing business as U.S. Renal Care Avondale Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Avondale, AZ
National Provider Identifier
1144503699
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
OTC4198 Issued in AZ
Legal business name
DIALYSIS NEWCO LLC
Doing business as
U.S. Renal Care Avondale Dialysis
Practice address
13055 W McDowell Rd
Suite 101F
Avondale, AZ 85392-6449
Phone
(623) 935-5460
Fax
(623) 935-5465
NPI assigned
Sep 21, 2011
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X OTC4198 AZ Primary

Addresses

Primary practice location

13055 W McDowell Rd
Suite 101F
Avondale, AZ 85392-6449

Mailing address

PO Box 251549
Plano, TX 75025-1500
Phone (615) 234-1188

Other names 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000252 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 4789857905 Practice locations: Avondale, AZ

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Dialysis Newco LLC24 organizations share this tax ID, including this one
Part of
US Renal Care Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1144503699",
    "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": "615-234-1188",
            "fax_number": "615-234-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "SUITE 101F",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926449",
            "telephone_number": "623-935-5460",
            "fax_number": "623-935-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS NEWCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2011-09-21",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Avondale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Avondale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.