Dsi Laurel, LLC

Primary specialty

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

Legal business name

DSI LAUREL, LLC

Doing business as

U.S. Renal Care Laurel Dialysis

Practice address

30214 Sussex Hwy
Laurel, DE 19956-3880

Phone

(615) 777-8200

NPI assigned

Oct 15, 2014

Last updated

Feb 15, 2016By 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

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Listed as

USRC LaurelCCN 082524

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 25, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

16

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Antonio Pedro, M.D.

  • Nephrology Physician
  • Laurel, DE
  • NPI 1922192434

  Dialysis facility

  Care Compare affiliation Name & address match
• Janet T Pedro, MD

  • Nephrology Physician
  • Georgetown, DE
  • NPI 1518061621

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1184028433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30214 SUSSEX HWY",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199563880",
            "telephone_number": "615-777-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI LAUREL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2014-10-15",
        "last_updated": "2016-02-15",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Laurel Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Dail, NCC, LPCMH
• Elizabeth Dattoli, PHARM. D.
• Jennifer Davis
• Lynn Defelice, RN
• Logan Ann Downes
• Lisa Inez Feddiman, HOME HEALTH AIDE
• Tara E Flanagan, RN, BSN
• Pamela Morris Fleckenstein, MSN, CRNP
• Christopher Ford
• Four Peaks Medical LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Laurel, DE
• Providers in Laurel, DE by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.