Active NPI
Renal Care Group Wasilla LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wasilla, AK
National Provider Identifier
1497867295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL CARE GROUP WASILLA LLC
- Practice address
- 3787 E Meridian Loop
Wasilla, AK 99654-7270 - Phone
- (907) 357-5600
- Fax
- (907) 357-5661
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Evp & General Counsel
- Phone
- (214) 736-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3787 E Meridian Loop
Wasilla, AK 99654-7270
Mailing address
PO Box 251549
Plano, TX 75025-1500
Other names 2
- Alaska Dialysis - Wasilla
- RENAL CARE GROUP WASILLA
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120207000700 | AK | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0648212084 | Practice locations: Wasilla, AK |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Usrc Wasilla
- Overall star rating
- Ownership
- Profit
- Certified
- Mar 29, 2004
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 12
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D1022169 | Renal Care Group Wasilla, LLC | Certificate of waiver | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
3787 E Meridian Loop
Wasilla, AK 99654
Phone (907) 357-5600
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1497867295",
"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",
"fax_number": "214-736-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 E MERIDIAN LOOP",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547270",
"telephone_number": "907-357-5600",
"fax_number": "907-357-5661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL CARE GROUP WASILLA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "EVP & GENERAL COUNSEL",
"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": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Alaska Dialysis - Wasilla",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RENAL CARE GROUP WASILLA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.