USRC PETERSBURG, LLC
NPI 1073910600
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Petersburg, VA

Active since November 25, 2014CLIA 49D2087362 · Waiver
1964 S CRATER RD, PETERSBURG, VA 23805(804) 733-3847(804) 733-3530 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Usrc Petersburg, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

USRC PETERSBURG, LLC (NPI 1073910600) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Petersburg, Virginia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Thomas L Weinberg, Svp, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1073910600
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameUSRC PETERSBURG, LLC
Location Address1964 S CRATER RDPetersburg, VA 23805-2716
Mailing Address2400 Dallas Pkwy, Suite 350Plano, TX 75093-4370 · (214) 736-2700
Fax(804) 733-3530
Organization SubpartYesParent: U.s. Renal Care, Inc.
Authorized OfficialThomas L WeinbergSvp, General Counsel · (214) 736-2700
Enumeration DateNovember 25, 2014
Last NPPES UpdateJune 25, 2015
NPI 1073910600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1964 S CRATER RD, Petersburg, VA 23805

Other Identifiers 1

Medicare OSCAR/certification492684VA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2087362

Usrc Petersburg, LLC Dba U S Renal Care Petersburg Dialysis · Petersburg, VA
Active · expires Nov 20, 2026
CLIA Number49D2087362
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorSatish K. Bankuru
Laboratory Phone(804) 733-3847
Laboratory LocationUsrc Petersburg, LLC Dba U S Renal Care Petersburg Dialysis1964 S Crater Road, Petersburg, VA 23805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is USRC Petersburg, LLC's NPI number?

The NPI number for USRC Petersburg, LLC is 1073910600. It was assigned to this organization in the NPPES registry on November 25, 2014.

Where is USRC Petersburg, LLC located?

USRC Petersburg, LLC is located at 1964 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 733-3847.

What is USRC Petersburg, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does USRC Petersburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2087362) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does USRC Petersburg, LLC accept?

Health plans from UnitedHealthcare list USRC Petersburg, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for USRC Petersburg, LLC was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.