Organization Active NPI

Garden City Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Garden City, MI
National Provider Identifier
1154846145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GARDEN CITY URGENT CARE PLLC
Practice address
28505 Ford Rd
Garden City, MI 48135-2843
Phone
(248) 736-8962
NPI assigned
Aug 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Faisal ShahNPI 1104139401
Title
Owner
Phone
(248) 736-8962

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

28505 Ford Rd
Garden City, MI 48135-2843

Mailing address

28505 Ford Rd
Garden City, MI 48135-2843
Phone (248) 736-8962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180710003189 MI Part B Supplier - Clinic/Group Practice 4981979689 Receives reassigned benefits from 5 practitioners
Practice locations: Garden City, 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
23D2156510Garden City Urgent Care PLLC28505 Ford Road, Garden City, MI 48135Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

28505 Ford Rd
Garden City, MI 48135
Phone (248) 736-8962

Practitioners & affiliated clinicians

Practitioners 8

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": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154846145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28505 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352843",
            "telephone_number": "248-736-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28505 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352843",
            "telephone_number": "248-736-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-736-8962"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.