Organization Active NPI

Family MD Urgent Care

  • Family Medicine Physician
  • West Springfield, MA
National Provider Identifier
1124861984
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MD URGENT CARE
Practice address
1238 Riverdale St
West Springfield, MA 01089-4675
Phone
(413) 504-3507
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Atif Khan, NPNPI 1548796618
Title
NP/Owner
Phone
(413) 504-3507

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1238 Riverdale St
West Springfield, MA 01089-4675

Mailing address

1238 Riverdale St
West Springfield, MA 01089-4675
Phone (413) 504-3507

Other practice location 1

241 S Westfield St
Feeding Hills, MA 01030-2713
Phone (413) 504-3507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260622000254 MA Part B Supplier - Clinic/Group Practice 6204309347 Receives reassigned benefits from 1 practitioner
Practice locations: Feeding Hills, MA

National Provider Directory

National Provider Directory

Locations

241 S Westfield St
Feeding Hills, MA 01030
Phone (413) 504-3507

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": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1124861984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894675",
            "telephone_number": "413-504-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894675",
            "telephone_number": "413-504-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 S Westfield St",
            "address_purpose": "LOCATION",
            "city": "Feeding Hills",
            "state": "MA",
            "postal_code": "010302713",
            "country_code": "US",
            "telephone_number": "413-504-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY MD URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ATIF",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "413-504-3507",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.