Usrc Pottstown LLC

Primary specialty

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

Legal business name

USRC POTTSTOWN LLC

Doing business as

US Renal Care Pottstown Dialysis

Practice address

5 S Sunnybrook Rd
Ste 500
Pottstown, PA 19464-3285

Phone

(610) 718-1127

Fax

(610) 718-1129

NPI assigned

Mar 22, 2013

Last updated

Oct 28, 2013By the provider in NPPES

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

Authorized Representative

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• US Renal Care Pottstown Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

USRC PottstownCCN 392707

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 31, 2004

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pottstown Hospital, LLC

  dba Pottstown Hospital

  • Psychiatric Hospital Unit
  • Pottstown, PA
  • NPI 1376061002

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sergio R Vaisman, MD

  • Nephrology Physician
  • Pottstown, PA
  • NPI 1063487783
  NPD (past)

Affiliated clinicians 1

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

• Krishna Komanduri, D.O

  • Nephrology Physician
  • Pottstown, PA
  • NPI 1295093466

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1972845436",
    "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": "5 S SUNNYBROOK RD",
            "address_2": "STE 500",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643285",
            "telephone_number": "610-718-1127",
            "fax_number": "610-718-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC POTTSTOWN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2013-03-22",
        "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": "AUTHORIZED REPRESENTATIVE",
        "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": "US Renal Care Pottstown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madelyn Grace Underwood
• Union Property Management LLC
• Bethanne Unrath
• Michelle Lynne Updegraff, MSN, AG-ACNP-BC, RN
• Megan H Urffer, CRNA
• Usv Optical Inc.
• Alexandra Utti
• Loretta Lucy Utti
• V-Mattchell Enterprises
• Sergio R Vaisman, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pottstown, PA
• Providers in Pottstown, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• 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.