Organization Active NPI

Dsi Ft Washington, LLC

Doing business as U.S. Renal Care Fort Washington Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Washington, MD
National Provider Identifier
1164880936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DSI FT WASHINGTON, LLC
Doing business as
U.S. Renal Care Fort Washington Dialysis
Practice address
10707 Indian Head Hwy
Fort Washington, MD 20744-4036
Phone
(301) 292-3610
Fax
(301) 292-3517
NPI assigned
Feb 8, 2016
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

10707 Indian Head Hwy
Fort Washington, MD 20744-4036

Mailing address

P O Box 251549
Plano, TX 75025-1500
Phone (214) 736-2700

Other practice location 1

10701 Indian Head Hwy
Fort Washington, MD 20744-4036
Phone (301) 292-3610

Other names 1

  • U.S. Renal Care Fort Washington Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161111000590 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 7911286166 Practice locations: Fort Washington, MD

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC Fort Washington DialysisCCN 212715
Overall star rating
5.0 of 5
Ownership
Profit
Certified
Sep 12, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
14

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2112425US Renal Care Fort Washington Dialysis10707 Indian Head Highway, Fort Washington, MD 20744Certificate of waiverApr 27, 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.

Locations

10707 Indian Head Hwy
Fort Washington, MD 20744
Phone (301) 292-3610

10701 Indian Head Hwy
Fort Washington, MD 20744
Phone (301) 292-3610

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164880936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 INDIAN HEAD HWY",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444036",
            "telephone_number": "301-292-3610",
            "fax_number": "301-292-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 Indian Head Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444036",
            "country_code": "US",
            "telephone_number": "301-292-3610",
            "fax_number": "301-292-3517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DSI FT WASHINGTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2016-02-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "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 Fort Washington Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.