NPIMap

Organization Active NPI

Im Consultant

Doing business as Primedical Urgent Care 1

  • Urgent Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1023644242
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
IM CONSULTANT
Doing business as
Primedical Urgent Care 1
Practice address
17751 E Warren Ave
Detroit, MI 48224-1329
Phone
(313) 908-7464
Fax
(313) 209-3002
NPI assigned
Mar 19, 2020
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Ahmad Ahmad, MDNPI 1992048607
Title
President
Phone
(586) 718-9090

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

17751 E Warren Ave
Detroit, MI 48224-1329

Mailing address

4 Nowlin CT
Dearborn, MI 48124-3912
Phone (734) 462-0340

Other names 1

  • Primedical Urgent Care 1 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200511001804 MI Part B Supplier - Clinic/Group Practice 2567893316 Receives reassigned benefits from 15 practitioners
Practice locations: Detroit, MI; Livonia, MI; Pontiac, MI

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
23D2180959Im Consultant Dba Primedical Urgent Care 117751 E Warren Avenue, Detroit, MI 48224Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

17751 E Warren Ave
Detroit, MI 48224
Phone (313) 680-0619

1220 N Perry St
Pontiac, MI 48340
Phone (248) 607-0191

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1023644242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NOWLIN CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243912",
            "telephone_number": "734-462-0340",
            "fax_number": "734-462-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241329",
            "telephone_number": "313-908-7464",
            "fax_number": "313-209-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-718-9090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primedical Urgent Care 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.