Organization Active NPI

Usrc West Cheektowaga, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cheektowaga, NY
National Provider Identifier
1356897482
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
USRC WEST CHEEKTOWAGA, LLC
Practice address
2861 Harlem Rd
Cheektowaga, NY 14225-3038
Phone
(761) 891-7429
Fax
(761) 891-7439
NPI assigned
Aug 29, 2016
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

2861 Harlem Rd
Cheektowaga, NY 14225-3038

Mailing address

PO Box 842688
Dallas, TX 75284-2688
Phone (214) 736-2700

Other names 1

  • U.S. Renal Care West Cheektowaga Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020000891 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 2567740863 Practice locations: Cheektowaga, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC West CheektowagaCCN 332747
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Nov 23, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
12

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

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
33D2117622Usrc West Cheektowaga LLC Dba US Renal Care2861 Harlem Rd, Cheektowaga, NY 14225Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
US Renal Care Amherst Dialysis2 organizations share this tax ID, including this one
Part of
US Renal Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1356897482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842688",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253038",
            "telephone_number": "761-891-7429",
            "fax_number": "761-891-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC WEST CHEEKTOWAGA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC",
        "enumeration_date": "2016-08-29",
        "last_updated": "2017-08-29",
        "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 West Cheektowaga Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.