Usrc West Cheektowaga, LLC

Primary specialty

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

Legal business name

USRC WEST CHEEKTOWAGA, LLC

Practice address

2880 Sheridan Dr
Tonawanda, NY 14150-9419

Phone

(716) 541-9165

Fax

(716) 541-9166

NPI assigned

Mar 5, 2018

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

Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Usrc West Cheektowaga, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cheektowaga, NY
  • NPI 1356897482

  2567740863

  Same PAC ID

Listed as

USRC Amherst DialysisCCN 332772

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 2, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

CLIA laboratory certificates

Tax ID family

US Renal Care Amherst Dialysis2 organizations share this tax ID, including this one

Part of

US Renal Care Inc

Other organizations with this tax ID 1

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

• Usrc West Cheektowaga, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cheektowaga, NY
  • NPI 1356897482
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Ann Matteson, D.O.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1063532125
  NPD (past)

Affiliated clinicians 3

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

• Basharat Ali, M.D.

  • Specialist
  • Sanborn, NY
  • NPI 1508930983

  Dialysis facility

  Care Compare affiliation Name & address match
• Kristin Ann Matteson, D.O.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1063532125

  Dialysis facility

  Care Compare affiliation Name & address match
• Richard Scott Steinacher, D.O.

  • Nephrology Physician
  • Amherst, NY
  • NPI 1629198700

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1235631367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842688",
            "telephone_number": "716-541-9165",
            "fax_number": "716-541-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509419",
            "telephone_number": "716-541-9165",
            "fax_number": "716-541-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC WEST CHEEKTOWAGA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "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": "U.S. Renal Care Amherst Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad P Tyler, D.O.
• Melinda Day Udell, PT, DPT
• Benjamin David Ulrich, DPT
• Kristy Unkrich, PTA
• Usrc Tonawanda Inc
• Marcia R. Valente, CASAC
• Jordan Valley, LMHC
• Leah Vanbourgondien
• Brandy Lynn Vandermark, MS
• Joseph Timothy Vanini

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.