Usrc Southwest Mesa, LLC

Primary specialty

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

Legal business name

USRC SOUTHWEST MESA, LLC

Doing business as

U.S. Renal Care Southwest Mesa Dialysis

Practice address

1457 W Southern Ave Ste D-19
Mesa, AZ 85202-4813

Phone

(480) 894-5411

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. 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

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Southwest Mesa Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

Usrc Southwest MesaCCN 032526

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Dec 7, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

24

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  dba U.S. Renal Care Scottsdale Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1053696674

  Member Of

  NPD member

Locations

Affiliated clinicians 6

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

• MHD Kussay Alsamkari, M.D.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1336106186

  Dialysis facility

  Care Compare affiliation Name & address match
• Asad Junaid Chaudhary, MD

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1073786794

  Dialysis facility

  Care Compare affiliation Name & address match
• Thaddeo Consunji Oconer, MD

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1104928571

  Dialysis facility

  Care Compare affiliation Name & address match
• Sandeep Mallanagouda Patil, M.D

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1912153222

  Dialysis facility

  Care Compare affiliation Name & address match
• Kanwardeep Singh Sachdeva, MD

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1457675134

  Dialysis facility

  Care Compare affiliation Name & address match
• Meenakshi Sambharia, MBBS

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1346623055

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1700506847",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 W SOUTHERN AVE STE D-19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024813",
            "telephone_number": "480-894-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC SOUTHWEST MESA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Southwest Mesa Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• US Medgroup PA (Advanced Medical Specialists of Phoenix)
• Usacs Emergency Medicine of Arizona, LLC
• Dulce C Useche de Mujica, PHYSICIAN ASSISTANT
• Benjamin Usleman, O.D.
• Usrc Mesa, LLC (U.S. Renal Care Mesa Dialysis)
• Usv Optical Inc.
• Usv Optical, Inc. (JC Penney Optical)
• Melchisedeck Uwumwami
• V2M Dental Care (Mesa Dental Home)
• Megan Vaccarezza

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.