NPIMap

Organization Active NPI

Adrian Urgent Care PLLC

  • Family Medicine Physician
  • Adrian, MI
National Provider Identifier
1003204769
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301063833 Issued in MI
Legal business name
ADRIAN URGENT CARE PLLC
Practice address
715 N Main St
Adrian, MI 49221-2151
Phone
(248) 957-7999
Fax
(248) 957-7997
NPI assigned
Jan 5, 2015
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Farah Iftikhar, M.D.NPI 1376542035
Title
President
Phone
(248) 957-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301063833 MI Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301063833 MI
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

715 N Main St
Adrian, MI 49221-2151

Mailing address

2692 Solutions Center Dr
Chicago, IL 60677-0001
Phone (248) 957-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150527002240 MI Part B Supplier - Clinic/Group Practice 5193045425 Receives reassigned benefits from 24 practitioners
Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

2692 Solutions Ctr Dr
Chicago, IL 60677

34405 W 12 Mile Rd
#205
Farmington Hills, MI 48331

34405 W 12 Mile Rd
Ste 173
Farmington Hills, MI 48331
Phone (248) 795-7799

34405 W 12 Mile Rd
Ste 205
Farmington Hills, MI 48331
Phone (248) 516-3134

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1003204769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 SOLUTIONS CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "248-957-7999",
            "fax_number": "248-957-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212151",
            "telephone_number": "248-957-7999",
            "fax_number": "248-957-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "IFTIKHAR",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-957-7999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301063833",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063833",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.