Usrc Sunnyvale, LLC

Primary specialty

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

Legal business name

USRC SUNNYVALE, LLC

Practice address

220 S Collins Rd
Sunnyvale, TX 75182-4625

Phone

(972) 201-2767

Fax

(972) 201-2768

NPI assigned

Mar 29, 2017

Organization subpart

Yes

Parent organization

US 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/Authorized Official

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• US Renal Care Sunnyvale Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC Sunnyvale DialysisCCN 742501

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 15, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

Practitioners 1

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

• Uma B.R.K Pakkivenkata, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1003003609
  NPD (past)

Affiliated clinicians 2

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

• Madhavi Mallareddy, MD

  • Nephrology Physician
  • Mesquite, TX
  • NPI 1215134630

  Dialysis facility

  Care Compare affiliation Name & address match
• Uma B.R.K Pakkivenkata, M.D.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1003003609

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1861924912",
    "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",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S COLLINS RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824625",
            "telephone_number": "972-201-2767",
            "fax_number": "972-201-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC SUNNYVALE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE, INC.",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "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",
        "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": "US Renal Care Sunnyvale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Cappelli Torres, M.S., CCC-SLP
• Vanessa Torres
• Total Care Home Services Inc.
• Town of Sunnyvale Texas
• Uptown Hospice Inc
• Vytautas Vaicys, M.D.
• Elizabeth Paulkate Vaidyan, D.M.D
• Alessandro Valverde, MD
• Anup Kurian Varghese, PHARMD
• Elizabeth Varghese, FNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sunnyvale, TX
• Providers in Sunnyvale, 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 Mar 29, 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.