Usrc Bethesda LLC

Primary specialty

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

Legal business name

USRC BETHESDA LLC

Doing business as

U.S. Renal Care Bethesda Dialysis

Practice address

4701 Sangamore Rd
Suite P017
Bethesda, MD 20816-2508

Phone

(301) 761-3864

Fax

(301) 229-4079

NPI assigned

Jan 14, 2013

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

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Bethesda Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Usrc Bethesda DialysisCCN 212681

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Feb 6, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

10

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

Affiliated clinicians 2

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

• Steven A Burka, MD

  • Nephrology Physician
  • Chevy Chase, MD
  • NPI 1033103114

  Dialysis facility

  Care Compare affiliation Name & address match
• Jeremy A Marcus, M.D.

  • Nephrology Physician
  • Washington, DC
  • NPI 1528175114

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1730426495",
    "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": "4701 SANGAMORE RD",
            "address_2": "SUITE P017",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208162508",
            "telephone_number": "301-761-3864",
            "fax_number": "301-229-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC BETHESDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2013-01-14",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "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 Bethesda Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Edward Urbanowski, MD, PHD
• Julian Urbina
• USA Bunnag, DDS.,PA (Bunnag Comprehensive Dentistry)
• Fatraa Aliy Usman
• Anameti Usoro, M.D.
• Maria Eugenia Julieta Uthurralt, M.D.
• Christine Marie Vaccaro, D.O.
• Vaccine Valet LLC
• Seema Vadalia
• Mehri Vafa, DDS MS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bethesda, MD
• Providers in Bethesda, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.