Organization Active NPI

Vitalcare Urgent Care PLC

  • Urgent Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1144055591
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VITALCARE URGENT CARE PLC
Practice address
8835 Michigan Ave Ste 100
Detroit, MI 48210-0708
Phone
(313) 407-7736
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Dr. Jaber Abdo, DONPI 1528416211
Title
President
Phone
(313) 407-7736

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

8835 Michigan Ave Ste 100
Detroit, MI 48210-0708

Mailing address

8835 Michigan Ave Ste 100
Detroit, MI 48210-0708
Phone (313) 407-7736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250916001496 MI Part B Supplier - Clinic/Group Practice 7719481514 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, 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
23D2321943Vitalcare Urgent Care PLC8835 Michigan Avenue Suite 100, Detroit, MI 48210Certificate of waiverApr 13, 2027

National Provider Directory

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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1144055591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 MICHIGAN AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482100708",
            "telephone_number": "313-407-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 MICHIGAN AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482100708",
            "telephone_number": "313-407-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE URGENT CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "JABER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-407-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 5, 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.