Active NPI
Usrc Cheektowaga Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cheektowaga, NY
National Provider Identifier
1629370267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC CHEEKTOWAGA INC
- Practice address
- 2875 Union Rd
Suite 13C/D
Cheektowaga, NY 14227-1470 - Phone
- (716) 684-0276
- Fax
- (716) 684-0671
- NPI assigned
- Dec 2, 2010
- Organization subpart
- Yes
- Parent organization
- US RENAL CARE, INC.
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
- Senior VP/General Counsel
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2875 Union Rd
Suite 13C/D
Cheektowaga, NY 14227-1470
Mailing address
PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 931-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03432400 | Medicaid | NY |
Other names 1
- US Renal Care Cheektowaga Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110929000070 | NY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7618148354 | Practice locations: Cheektowaga, NY |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Usrc Cheektowaga Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 16, 2011
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 13
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
2875 Union Rd
Ste 13
Cheektowaga, NY 14227
Phone (716) 684-0276
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Amherst, NY
- NPI 1467572537
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1629370267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19119",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724036601",
"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": "2875 UNION RD",
"address_2": "SUITE 13C/D",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142271470",
"telephone_number": "716-684-0276",
"fax_number": "716-684-0671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC CHEEKTOWAGA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "US RENAL CARE, INC.",
"enumeration_date": "2010-12-02",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SENIOR VP/GENERAL COUNSEL",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03432400",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "US Renal Care Cheektowaga Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.