Organization Active NPI

Fresenius Medical Care S.E. Fort Worth, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1992213078
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE S.E. FORT WORTH, LLC
Practice address
3708 E Rosedale St
Fort Worth, TX 76105-1701
Phone
(817) 413-0070
Fax
(817) 413-0071
NPI assigned
Jan 11, 2018
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise Wright
Title
Vice President
Phone
(781) 676-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X TX Primary

Addresses

Primary practice location

3708 E Rosedale St
Fort Worth, TX 76105-1701

Mailing address

3708 E Rosedale St
Fort Worth, TX 76105-1701
Phone (817) 413-0070

Other practice location 1

3706 E Rosedale
Fort Worth, TX 76155
Phone (682) 330-8745

Other practice location 2

3706 E Rosedale
Fort Worth, TX 76155
Phone (682) 330-8745

Other names 1

  • FRESENIUS KIDNEY CARE SOUTHEAST FORT WORTH Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711000512 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 5890041560 Practice locations: Fort Worth, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
FKC Southeast Fort WorthCCN 742531
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Mar 15, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Fresenius Medical Care
Dialysis stations
13

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2152175Fresenius Kidney Care Southeast Fort Worth3708 East Rosedale Street Ste 140, Fort Worth, TX 76105Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1992213078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 E ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051701",
            "telephone_number": "817-413-0070",
            "fax_number": "817-413-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 E ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051701",
            "telephone_number": "817-413-0070",
            "fax_number": "817-413-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3706 E ROSEDALE",
            "address_purpose": "LOCATION",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76155",
            "country_code": "US",
            "telephone_number": "682-330-8745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3706 E ROSEDALE",
            "address_purpose": "LOCATION",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76155",
            "country_code": "US",
            "telephone_number": "682-330-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE S.E. FORT WORTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2018-01-11",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE SOUTHEAST FORT WORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.