Usrc West Fork LLC

Primary specialty

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

Legal business name

USRC WEST FORK LLC

Doing business as

U.S. Renal Care West Fork Dialysis
U.S. Renal Care West Fork Dialysis Home
US Renal Care Tarrant Dialysis West Fork

Practice address

725 N. Industrial Blvd.
Suite 100
Bedford, TX 76021-6134

Phone

(817) 358-4544

NPI assigned

Feb 27, 2018

Last updated

May 25, 2022By the provider in NPPES

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

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 3

• U.S. Renal Care West Fork Dialysis Doing business as
• U.S. Renal Care West Fork Dialysis Home Doing business as
• US RENAL CARE TARRANT DIALYSIS WEST FORK Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

USRC West Fork DialysisCCN 742562

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Aug 5, 2020

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

Affiliated clinicians 3

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

• Saravanan Balamuthusamy, M.D.

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1932395811

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammad Humayun Kabir, MD

  • Nephrology Physician
  • Irving, TX
  • NPI 1285859389

  Dialysis facility

  Care Compare affiliation Name & address match
• Machaiah M Madhrira, MD

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1043453293

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1881195576",
    "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": "725 N. INDUSTRIAL BLVD.",
            "address_2": "SUITE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216134",
            "telephone_number": "817-358-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC WEST FORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC.",
        "enumeration_date": "2018-02-27",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care West Fork Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care West Fork Dialysis Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US RENAL CARE TARRANT DIALYSIS WEST FORK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "US RENAL CARE TARRANT DIALYSIS WEST FORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Federal Treatment Centers
• Murali Ranganath Uppalluri, M.D.
• Upturncare, Co. (ACCESSIBLE HOME HEALTH CARE of TARRANT & S. DENTON COUNTY)
• Ana Laura Urbina
• Usha Walia MD PA
• David Uwakwe
• Naga Sitaram Vadlamudi, M.D
• Ana I Valdes Roque, M.D.
• Gerold Wayne Valentine Jr., PT
• Kristen M Vallery, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bedford, TX
• Providers in Bedford, 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 May 25, 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.