Liberty Dialysis - Mesquite LLC

Primary specialty

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

Legal business name

LIBERTY DIALYSIS - MESQUITE LLC

Doing business as

Premier Dialysis - Mesquite

Practice address

3330 N Galloway Ave
Ste 160
Mesquite, TX 75150-4701

Phone

(214) 989-4110

NPI assigned

Jul 16, 2007

Last updated

Jul 24, 2023By 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 & President

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• Premier Dialysis - Mesquite Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Premier MesquiteCCN 672589

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 24, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

20

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• U.S. Renal Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plano, TX
  • NPI 1588581870
  NPPES parent name

Affiliated clinicians 4

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

• Syed M Ali, MBBS, MD

  • Specialist
  • Lewisville, TX
  • NPI 1144434010

  Dialysis facility

  Care Compare affiliation Name & address match
• Muzzaffar Hussain, MD

  • Nephrology Physician
  • Dallas, TX
  • NPI 1437323391

  Dialysis facility

  Care Compare affiliation Name & address match
• Apurva Lapsiwala, MD

  • Nephrology Physician
  • Dallas, TX
  • NPI 1841200391

  Dialysis facility

  Care Compare affiliation Name & address match
• Madhavi Mallareddy, MD

  • Nephrology Physician
  • Mesquite, TX
  • NPI 1215134630

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1841499134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844631",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844631",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N GALLOWAY AVE",
            "address_2": "STE 160",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504701",
            "telephone_number": "214-989-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DIALYSIS - MESQUITE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "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": "214-736-2730"
    },
    "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": "Premier Dialysis - Mesquite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Jo Lettieri, M.S. CCC-SLP
• Michael Richard Leve, OD
• Shannon Kay Lewallen, FNP-BC
• Amber Nicole Lewis
• Zakymbria Lewis
• Paul E Liechty, D.C.
• Life Specialty Pharmacy, Inc.
• Lifecare Virtual Home Health LLC (LifeCare Virtual Home Health)
• Lighthouse Behavioral Wellness Center
• Lim Healthcare Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mesquite, TX
• Providers in Mesquite, 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 Jul 24, 2023; 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.