Organization Active NPI

Ritemed Urgent Care PLLC

  • Internal Medicine Physician
  • Westland, MI
National Provider Identifier
1083933220
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301078766 Issued in MI
Legal business name
RITEMED URGENT CARE PLLC
Practice address
769 S Wayne Rd
Westland, MI 48186-4364
Phone
(734) 331-3910
Fax
(734) 331-3911
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mahir Matti, MDNPI 1275638231
Title
Owner
Phone
(734) 331-3910

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301078766 MI Primary

Addresses

Primary practice location

769 S Wayne Rd
Westland, MI 48186-4364

Mailing address

769 S Wayne Rd
Westland, MI 48186-4364
Phone (734) 331-3910

Other identifiers 3

IdentifierTypeStateIssuer
110H260970OtherMIBCBS GROUP
1083933220MedicaidMI
DR3454OtherMIRAILROAD MEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000025 MI Part B Supplier - Clinic/Group Practice 2062609894 Receives reassigned benefits from 3 practitioners
Practice locations: Westland, 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
23D2007868Ritemed Urgent Care769 S Wayne Road, Westland, MI 48186Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rite Med Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1083933220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864364",
            "telephone_number": "734-331-3910",
            "fax_number": "734-331-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864364",
            "telephone_number": "734-331-3910",
            "fax_number": "734-331-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITEMED URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "MATTI",
        "authorized_official_first_name": "MAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-331-3910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "110H260970",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083933220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DR3454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.