Usrc Kona LLC

Primary specialty

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

Legal business name

USRC KONA LLC

Doing business as

U.S. Renal Care Kona Dialysis

Practice address

74-5588 Palani Rd Ste 29
Kailua Kona, HI 96740-3120

Phone

(808) 909-2332

Fax

(808) 909-2346

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Thomas L. Weinberg

Title

President and Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Listed as

Usrc Kona CoastCCN 122544

Ownership

Profit

Certified

Aug 7, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

21

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

CLIA laboratory certificates

Member of 1

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

• Dialysis Newco LLC

  dba U.S. Renal Care Viera Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Viera, FL
  • NPI 1982970554

  Member Of

  NPD member

Affiliated clinicians 2

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

• Evan Gross, M.D.

  • Nephrology Physician
  • Kailua Kona, HI
  • NPI 1881646602

  Dialysis facility

  Care Compare affiliation Name & address match
• Wei Boon Ooi, M.D.

  • Nephrology Physician
  • Kailua Kona, HI
  • NPI 1124259676

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1275389256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632177",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632177",
            "telephone_number": "808-909-2332",
            "fax_number": "808-909-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5588 PALANI RD STE 29",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403120",
            "telephone_number": "808-909-2332",
            "fax_number": "808-909-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC KONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND 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 Kona Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Travers, FNP-C
• Trusted Transports LLC
• John M Tsue, OD
• Laurie Tupasi, LMT
• Helen Claire Tweedley, PT
• Gabriel L Uy, DDS
• Carolyn Uyeda, RPH
• Claudia Elizabeth Valentine
• Alfred Richard Valenzuela, D.C.
• Michelle Van Druff, CNM

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.