RDC 12 Partners, LLC

Primary specialty

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

Legal business name

RDC 12 PARTNERS, LLC

Doing business as

Liberty Dialysis - Richardson
Premier Dialysis - Richardson

Practice address

1621 N Central Expy
Suite 200
Richardson, TX 75080-3504

Phone

(214) 552-9901

NPI assigned

Apr 18, 2012

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As 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

President & Chairman

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 2

• Liberty Dialysis - Richardson Doing business as
• Premier Dialysis - Richardson Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Premier RichardsonCCN 672740

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 17, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

17

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• U.S. Renal Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plano, TX
  • NPI 1588581870
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yugandhar P Chimata, MD

  • Nephrology Physician
  • Desoto, TX
  • NPI 1548299480
  NPD (past)

Affiliated clinicians 2

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

• Rama Nadella, M.D.

  • Nephrology Physician
  • Desoto, TX
  • NPI 1659545457

  Dialysis facility

  Care Compare affiliation Name & address match
• Joonho Park, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1235576166

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1366709057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8446341",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844631",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N CENTRAL EXPY",
            "address_2": "SUITE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803504",
            "telephone_number": "214-552-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDC 12 PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2012-04-18",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT & 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": "Liberty Dialysis - Richardson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Dialysis - Richardson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Tombs Rayshell, APRN, NNP-BC CPNP-PC
• Nurcan Raza, APRN, FNP-BC
• Syed Asad Raza, M.D.
• Razi RX Inc. (Sina RX Pharmacy)
• Sarah Razi, PA-S
• Katie Reading, CCC
• Readystart, Inc.
• Elizabeth Ann Reames, EIS
• Michael Joseph Reardon
• Rebeginnings Counseling

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Richardson, TX
• Providers in Richardson, 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 Jul 24, 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.