Usrc Mansfield LLC

Primary specialty

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

Legal business name

USRC MANSFIELD LLC

Practice address

1800 Highway 157 N Ste 101
Mansfield, TX 76063-3930

Phone

(682) 518-0126

Fax

(682) 518-0533

NPI assigned

May 27, 2021

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs 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) 736-2700

Specialties & licenses 1

Addresses

Other names 2

• US RENAL CARE MANSFIELD DIALYSIS Doing business as
• US RENAL CARE TARRANT DIALYSIS MANSFIELD Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

US Renal Care Inc

Practitioners 1

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

• Ponnaiah C. Mohan, MD

  • Nephrology Physician
  • Arlington, TX
  • NPI 1487646295
  NPD (past)

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1255907697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LEGACY CIR STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245982",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 157 N STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633930",
            "telephone_number": "682-518-0126",
            "fax_number": "682-518-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MANSFIELD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "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": "214-736-2700"
    },
    "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": "US RENAL CARE MANSFIELD DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US RENAL CARE TARRANT DIALYSIS MANSFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Supermarkets LLC
• Nicole Unkart, DO
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• Sangita Uprety, AGNP-BC
• Jeffrey Urieto, M.D.
• Usrc Tarrant L P
• Uu Medical Logistics LLC
• Uu Medical Logistics LLC
• Leah Valdez
• Elizabeth Renteria Valles, FNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.