Active NPI
West Dearborn Urgent Care PLLC
- Urgent Care Clinic/Center
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- WEST DEARBORN URGENT CARE PLLC
- Practice address
- 2421 Monroe St Ste 102
Dearborn, MI 48124-3043 - Phone
- (313) 447-0888
- Fax
- (313) 458-4004
- NPI assigned
- Dec 25, 2021
- Last updated
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ghattas Alkhoury, MD
- Title
- Medical Doctor/Owner
- Phone
- (419) 481-1945
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2421 Monroe St Ste 102
Dearborn, MI 48124-3043
Mailing address
2421 Monroe St Ste 102
Dearborn, MI 48124-3043
Phone (313) 447-0888
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ghattas.alkhoury@wdearbornuc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2248896 | West Dearborn Urgent Care | Certificate of waiver | Jan 17, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- West Dearborn Primary Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba West Dearborn Primary Care Physicians
- Internal Medicine Physician
- Dearborn, MI
- NPI 1427787241
Locations
2421 Monroe St
Ste 102
Dearborn, MI 48124
Phone (313) 447-0888
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1215347000
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1922339977
-
- Family Nurse Practitioner
- Dearborn, MI
- NPI 1134875388
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1558947101
-
- Nurse Practitioner
- Twin Falls, ID
- NPI 1063576619
-
- Chiropractor
- Twin Falls, ID
- NPI 1841354495
-
- Chiropractor
- Burley, ID
- NPI 1962599472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1124788666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 MONROE ST STE 102",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243043",
"telephone_number": "313-447-0888",
"fax_number": "313-458-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 MONROE ST STE 102",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243043",
"telephone_number": "313-447-0888",
"fax_number": "313-458-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST DEARBORN URGENT CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-25",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "ALKHOURY",
"authorized_official_first_name": "GHATTAS",
"authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
"authorized_official_telephone_number": "419-481-1945",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ghattas.alkhoury@wdearbornuc.com",
"affiliation": "N",
"endpointDescription": "Secure email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2421 Monroe St Ste 102",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481243043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.