Renal Carepartners of Woodbridge LLC

Primary specialty

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

Legal business name

RENAL CAREPARTNERS OF WOODBRIDGE LLC

Doing business as

U.S. Renal Care Woodbridge Dialysis

Practice address

14000 Crown CT
Suite 110
Woodbridge, VA 22193-1460

Phone

(305) 512-0014

Fax

(305) 512-0024

NPI assigned

Jul 18, 2006

Last updated

Oct 25, 2013By 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 identifiers 1

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Usrc WoodbridgeCCN 492647

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Feb 28, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

16

Part of

US Renal Care Inc

Locations

Affiliated clinicians 3

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

• Eugene H Kim, MD

  • Nephrology Physician
  • Manassas, VA
  • NPI 1346277969

  Dialysis facility

  Care Compare affiliation Name & address match
• Himani Pulivarthi, MD

  • Nephrology Physician
  • Manassas, VA
  • NPI 1598285793

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammad Sanaei Ardekani, M.D.

  • Nephrology Physician
  • Manassas, VA
  • NPI 1841410065

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1245258177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT",
            "address_2": "SUITE 110",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931460",
            "telephone_number": "305-512-0014",
            "fax_number": "305-512-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CAREPARTNERS OF WOODBRIDGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-10-25",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245258177",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Woodbridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tianna Reid
• Brenna Elizabeth Reilly, DPT
• Jenniffer Lynn Reis, FNP
• Michael R Reitz, DO
• Reliance Care Services LLC
• Renee Burdett, MD PC
• Renewing Hearts Family Counseling, LLC
• Natalie Rose Renfrow
• Melissa Ellen Renner, LPC, CSOTP
• Resiliensea Health Solutions, PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.