Usrc FWRG-Keller, LLC

Primary specialty

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

Legal business name

USRC FWRG-KELLER, LLC

Doing business as

US Renal Care Double Springs Dialysis

Practice address

601 S Main St Ste 120
Keller, TX 76248-7029

Phone

(682) 291-0092

NPI assigned

May 21, 2020

Organization subpart

Yes

Parent organization

US 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

Chairman/President

Phone

(214) 736-2732

Specialties & licenses 1

Addresses

Other names 1

• US Renal Care Double Springs Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Double SpringsCCN 742579

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 11, 2021

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geethanjali Ramamurthy, MD

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1093707887
  NPD (past)

Affiliated clinicians 2

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

• Nishant B Jalandhara, MD

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1932116902

  Dialysis facility

  Care Compare affiliation Name & address match
• Raju Amaregouda Patil, M.D., M.P.H.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1457526832

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1649893850",
    "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": "214-736-2700",
            "fax_number": "214-291-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST STE 120",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487029",
            "telephone_number": "682-291-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC FWRG-KELLER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE, INC.",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
        "authorized_official_telephone_number": "214-736-2732"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Double Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blandine Umutoniwase
• Unearthed, PLLC
• Hope Unkauf, MS, RDN, LD
• Dania Lynn Urena, QMHP
• US Choice Home Health Care, Inc.
• Kiasi Valentine
• Valor Behavioral Health
• Katherine Roseann Van Gils
• Mary P Van Hal, MD
• Darlene Ella Vanchura, MA, LPC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Keller, TX
• Providers in Keller, 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 21, 2020; 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.