Usrc Mid Valley Weslaco LP

Primary specialty

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

License

008429 Issued in TX

Legal business name

USRC MID VALLEY WESLACO LP

Practice address

1005 S Airport Dr
Weslaco, TX 78596-6607

Phone

(956) 968-5806

Fax

(956) 968-6305

NPI assigned

Dec 27, 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

Thomas L. Weinberg

Title

Senior Vice President

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• US Renal Care Mid Valley Weslaco Dialysis Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc Mid Valley Weslaco DialysisCCN 452870

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 13, 2003

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

Affiliated clinicians 2

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

• Angelito O De Dios, M.D.

  • Nephrology Physician
  • McAllen, TX
  • NPI 1902823974

  Dialysis facility

  Care Compare affiliation Name & address match
• Franklin Daniel Ponce Herrera, MD

  • Nephrology Physician
  • McAllen, TX
  • NPI 1265849442

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1861479347",
    "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": "1005 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966607",
            "telephone_number": "956-968-5806",
            "fax_number": "956-968-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MID VALLEY WESLACO LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-10-28",
        "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",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIDNEY HEALTH CARE",
            "identifier": "020131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH6468",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177230301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177230302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care Mid Valley Weslaco Dialysis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• United DME Inc
• United Home Renal Care, Inc.
• United Hospice Care Services LLC
• United Wellness DME LLC
• Gracia Uribe
• Usrc Weslaco Central LLC
• Amol Utturkar, D.O.
• Val Verde County Hospital District
• Bethany Valadez, CCC-SLP
• Cristine Valdez Aguilar

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Weslaco, TX
• Providers in Weslaco, 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 Oct 28, 2013; 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.