Organization Active NPI

Renal Carepartners of Prince Frederick, LLC

Doing business as U.S. Renal Care Prince Frederick Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Prince Frederick, MD
National Provider Identifier
1447236088
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENAL CAREPARTNERS OF PRINCE FREDERICK, LLC
Doing business as
U.S. Renal Care Prince Frederick Dialysis
Practice address
205 Steeple Chase Dr
Ste 201, 202, 203, 204, 205
Prince Frederick, MD 20678-4053
Phone
(410) 414-8000
NPI assigned
Dec 15, 2005
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 NU Primary

Addresses

Primary practice location

205 Steeple Chase Dr
Ste 201, 202, 203, 204, 205
Prince Frederick, MD 20678-4053

Mailing address

1 World Trade Ctr
Ste 2500
Long Beach, CA 90831-0002
Phone (562) 495-8075

Other identifiers 1

IdentifierTypeStateIssuer
407928100MedicaidMD

Other names 1

  • U.S. Renal Care Prince Frederick Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004000504 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 8022077353 Practice locations: Prince Frederick, MD

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Usrc Prince FrederickCCN 212643
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Dec 10, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
16

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
Part of
US Renal Care Inc

Locations

3124 Momentum Pl
Chicago, IL 60689

205 Steeple Chase Dr
Ste 201
Prince Frederick, MD 20678
Phone (410) 414-8000

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": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1447236088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WORLD TRADE CTR",
            "address_2": "STE 2500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908310002",
            "telephone_number": "562-495-8075",
            "fax_number": "562-495-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEEPLE CHASE DR",
            "address_2": "STE 201, 202, 203, 204, 205",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784053",
            "telephone_number": "410-414-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CAREPARTNERS OF PRINCE FREDERICK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-07",
        "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": "407928100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Prince Frederick Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Prince Frederick Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • 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.