Usrc Friendswood Dialysis LLC

Primary specialty

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

Legal business name

USRC FRIENDSWOOD DIALYSIS LLC

Doing business as

US Renal Care Friendswood Dialysis

Practice address

3324 E FM 528 Rd
Friendswood, TX 77546-5012

Phone

(281) 998-7200

Fax

(281) 998-7201

NPI assigned

Apr 9, 2008

Last updated

Oct 25, 2013By the provider in NPPES

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

Vice President

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• US Renal Care Friendswood Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc Friendswood DialysisCCN 672624

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 3, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

12

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Affiliated clinicians 2

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

• Muhammad Ahmad Mujtaba, M.D.

  • Nephrology Physician
  • Webster, TX
  • NPI 1740426592

  Dialysis facility

  Care Compare affiliation Name & address match
• Chau Minh Vu, M.D.

  • Specialist
  • Webster, TX
  • NPI 1689671497

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1275706350",
    "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": "3324 E FM 528 RD",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465012",
            "telephone_number": "281-998-7200",
            "fax_number": "281-998-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC FRIENDSWOOD DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2008-04-09",
        "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": "VICE PRESIDENT",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH117Y",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105264-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Friendswood Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enoabasi Udofia
• Philomena E Ukwade, MD
• Ultra Life RX Compounding LLC
• University of Texas Medical Branch at Galveston
• Klavdiya Georgieva Usheva, DMD
• V & R Health Care Services, LLC
• Vivian Valdes, FNP-C
• Martha Vallin, MS, MED, LPC
• Doris Varner-Bennett
• Brenda Kay Vasek, PT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Friendswood, TX
• Providers in Friendswood, 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 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.