Organization Active NPI

Nra Muncie Indiana LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Muncie, IN
National Provider Identifier
1275693111
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NRA MUNCIE INDIANA LLC
Practice address
800 S Tillotson Ave Ste 1
Muncie, IN 47304-4529
Phone
(765) 747-3020
Fax
(765) 741-1588
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

800 S Tillotson Ave Ste 1
Muncie, IN 47304-4529

Mailing address

PO Box 251549
Plano, TX 75025-1500
Phone (214) 736-2700

Other names 1

  • U.S. Renal Care North Muncie Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070127000100 IN Part A Provider - End-Stage Renal Disease Facility (ESRD) 2567463946 Practice locations: Muncie, IN

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1064293Nra-Muncie, Indiana, LLC D/B/a US Renal Care North800 S Tillotson Avenue Suite 1, Muncie, IN 47304Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Member of 2

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

Locations

800 S Tillotson Ave
Ste 1
Muncie, IN 47304
Phone (765) 747-3020

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1275693111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S TILLOTSON AVE STE 1",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044529",
            "telephone_number": "765-747-3020",
            "fax_number": "765-741-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA MUNCIE INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care North Muncie Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.