Dsi New Carrollton, LLC

Primary specialty

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

Legal business name

DSI NEW CARROLLTON, LLC

Doing business as

U.S. Renal Care New Carollton Dialysis

Practice address

8317 Annapolis Rd
New Carrollton, MD 20784-3001

Phone

(301) 459-1505

Fax

(301) 459-1385

NPI assigned

Jan 8, 2014

Last updated

Jan 18, 2024By the provider in NPPES

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

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care New Carollton Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Usrc New Carrollton DialysisCCN 212686

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 22, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

16

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Inder Chawla, M.D.

  • Specialist
  • Takoma Park, MD
  • NPI 1316989312
  NPD (past)

Affiliated clinicians 1

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

• Mohammed Youshauddin, M.D., FASN

  • Nephrology Physician
  • Oxon Hill, MD
  • NPI 1396951802

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1417379629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-777-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 ANNAPOLIS RD",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843001",
            "telephone_number": "301-459-1505",
            "fax_number": "301-459-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI NEW CARROLLTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2014-01-08",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423069800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care New Carollton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• I'Necika Denise Daniels, FNP
• Sean T Davis
• Detos Services LLC
• Jules Isaac Djomo
• Dr Andrea K Rodney
• Kingsley I Duru, MSW,MFT
• Eagle Healthcare Services LLC
• Felix Ebelle Toh
• Louise Ebongue
• Abisola Mutiat Edu, CNA/HHA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Carrollton, MD
• Providers in New Carrollton, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.