Usrc San Benito Dialysis LTD

Primary specialty

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

License

008215 Issued in TX

Legal business name

USRC SAN BENITO DIALYSIS LTD

Practice address

910 N McCullough St
San Benito, TX 78586-0084

Phone

(956) 399-4037

Fax

(956) 399-8119

NPI assigned

Dec 28, 2005

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

Senior Vice-President/General Couns

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• US Renal Care San Benito Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc San Benito DialysisCCN 672514

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Aug 24, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

25

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

Practitioners 1

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

• Brajesh Bhatla, M.D.

  • Nephrology Physician
  • Harlingen, TX
  • NPI 1821045600
  NPD (past)

Affiliated clinicians 2

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

• Brajesh Bhatla, M.D.

  • Nephrology Physician
  • Harlingen, TX
  • NPI 1821045600

  Dialysis facility

  Care Compare affiliation Name & address match
• Jorge H Flores, M.D.

  • Nephrology Physician
  • Harlingen, TX
  • NPI 1356380885

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1669459079",
    "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": "910 N MCCULLOUGH ST",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785860084",
            "telephone_number": "956-399-4037",
            "fax_number": "956-399-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC SAN BENITO DIALYSIS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR VICE-PRESIDENT/GENERAL COUNS",
        "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": "008215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176515802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH043Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH CARE",
            "identifier": "018885",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176515801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care San Benito Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Trevino
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• Eduardo Uribe, M.D.
• Janice Valdez, PHARMD
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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Benito, TX
• Providers in San Benito, 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 Jan 17, 2017; 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.