Usrc Rio Grande LLC

Primary specialty

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

License

008202 Issued in TX

Legal business name

USRC RIO GRANDE LLC

Doing business as

US Renal Care Rio Grande Dialysis

Practice address

2787 Pharmacy Rd
Rio Grande City, TX 78582-6201

Phone

(956) 487-2929

Fax

(956) 487-4673

NPI assigned

Dec 27, 2005

Last updated

Sep 21, 2023By 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

Senior Vice-President/General Couns

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• US Renal Care Rio Grande Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc Rio Grande DialysisCCN 452664

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Nov 16, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

15

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

Locations

Affiliated clinicians 1

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

• Nyan Wai Phyo, MD

  • Nephrology Physician
  • McAllen, TX
  • NPI 1669786042

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1346227824",
    "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": "2787 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826201",
            "telephone_number": "956-487-2929",
            "fax_number": "956-487-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC RIO GRANDE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR VICE-PRESIDENT/GENERAL COUNS",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177061202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177061201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH6489",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH CARE",
            "identifier": "020159",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Rio Grande Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Renal Care Rio Grande Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Evangelina Valdez, FNP-BC
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• Luis Valencia, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rio Grande City, TX
• Providers in Rio Grande City, 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 Sep 21, 2023; 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.