NPIMap

Organization Active NPI

Usrc Tarrant L P

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1386690964
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008466 Issued in TX
Legal business name
USRC TARRANT L P
Practice address
501 College Ave
Suite 200
Fort Worth, TX 76104-2211
Phone
(817) 877-1515
Fax
(817) 877-5100
NPI assigned
May 25, 2006
Organization subpart
Yes
Parent organization
US RENAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas L Weinberg
Title
VP, General Counsel
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008466 TX Primary

Addresses

Primary practice location

501 College Ave
Suite 200
Fort Worth, TX 76104-2211

Mailing address

PO Box 251549
Plano, TX 75025-1500
Phone (870) 931-5400

Other identifiers 5

IdentifierTypeStateIssuer
186431603MedicaidTX
022754OtherTXKIDNEY HEALTH CARE (KHC)
186431604MedicaidTX
HH6305OtherTXBLUE CROSS
001562OtherTXKIDNEY HEALTH CARE

Other names 1

  • US Renal Care Tarrant Dialysis Tarrant County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100219000200 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 0345244174 Practice locations: Fort Worth, TX

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Usrc Fort WorthCCN 452579
Overall star rating
1.0 of 5
Ownership
Profit
Certified
May 9, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
37

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Usrc Tarrant County PDCCN 452656
Ownership
Profit
Certified
Apr 27, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
4

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

National Provider Directory

National Provider Directory
Tax ID family
Tarrant Dialysis Centers LLC4 organizations share this tax ID, including this one
Part of
US Renal Care Inc

Other organizations with this tax ID 3

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

Locations

11905 Medpark Dr
Burleson, TX 76028
Phone (817) 293-1978

1009 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 336-7275

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 7

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1386690964",
    "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": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 COLLEGE AVE",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042211",
            "telephone_number": "817-877-1515",
            "fax_number": "817-877-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC TARRANT L P",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186431603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH CARE (KHC)",
            "identifier": "022754",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186431604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH6305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH  CARE",
            "identifier": "001562",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Tarrant Dialysis Tarrant County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Renal Care Tarrant Dialysis Tarrant County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.