Usrc Cleburne LLC

Primary specialty

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

License

110025 Issued in TX

Legal business name

USRC CLEBURNE LLC

Practice address

1206 W Henderson St Ste C
Cleburne, TX 76033-8772

Phone

(817) 641-5530

Fax

(817) 641-5531

NPI assigned

May 1, 2009

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas L. Weinberg

Title

Manager

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 2

• U.S. Renal Care Cleburne Dialysis Doing business as
• US Renal Care Tarrant Dialysis Cleburne Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc CleburneCCN 672650

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 7, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

Locations

Affiliated clinicians 2

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

• Malathi Chamarthi Raju, M.D.

  • Nephrology Physician
  • Cleburne, TX
  • NPI 1477716116

  Dialysis facility

  Care Compare affiliation Name & address match
• Radha Pasala, MD

  • Nephrology Physician
  • Cleburne, TX
  • NPI 1871753780

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1457595670",
    "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": "1206 W HENDERSON ST STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338772",
            "telephone_number": "817-641-5530",
            "fax_number": "817-641-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC CLEBURNE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2009-05-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "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": "110025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Cleburne Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Renal Care Tarrant Dialysis Cleburne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US Renal Care Tarrant Dialysis Cleburne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William David Tyson, DDS
• U S Anesthesia Partners of Texas, PA
• Unicare Lab Testing LLC
• Richelle Upshaw, MD
• US Anesthesia Partners of Texas, PA
• Siavosh Vafadari, MD
• Value Urgent Care Clinics of Texas
• Value Urgent Care Clinics of Texas PLLC
• Ryne Gage Vaughn, RDN
• Diana F Vickers, RPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cleburne, TX
• Providers in Cleburne, 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 May 25, 2022; 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.