NPIMap

Organization Active NPI

Kmrcpatel PLLC

  • Urgent Care Clinic/Center
  • Wylie, TX
National Provider Identifier
1104520832
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KMRCPATEL PLLC
Practice address
2030 N State Hwy 78
Suite 500
Wylie, TX 75098
Phone
(469) 257-3504
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Mr. Ridham H Patel, PHARMDNPI 1407452527
Title
Owner/Manager
Phone
(469) 257-3504

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 Primary

Addresses

Primary practice location

2030 N State Hwy 78
Suite 500
Wylie, TX 75098

Mailing address

8009 Graystone Dr
Sachse, TX 75048-3825
Phone (469) 257-3504

Other names 1

  • Wylie Walk In Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230921002445 TX Part B Supplier - Clinic/Group Practice 1355795568 Receives reassigned benefits from 4 practitioners
Practice locations: Wylie, TX
O20241204004556 TX DME Supplier - Multi-Specialty - Physician 1355795568 Practice locations: Wylie, TX

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
45D2281031Wylie Walk in Urgent Care2030 N State Hwy 78 Suite 500, Wylie, TX 75098Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Locations

2030 N Highway 78
Wylie, TX 75098

Practitioners & affiliated clinicians

Practitioners 6

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": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1104520832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 GRAYSTONE DR",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483825",
            "telephone_number": "469-257-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N STATE HWY 78",
            "address_2": "SUITE 500",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "469-257-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMRCPATEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RIDHAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "469-257-3504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wylie Walk In Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wylie Walk In Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.