Organization Active NPI

Dearborn Pain Center PLLC

Doing business as Neu Urgent Care

  • Urgent Care Clinic/Center
  • Hazel Park, MI
National Provider Identifier
1174995203
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DEARBORN PAIN CENTER PLLC
Doing business as
Neu Urgent Care
Practice address
624 E 9 Mile Rd
Hazel Park, MI 48030-1842
Phone
(248) 629-7497
Fax
(248) 397-8474
NPI assigned
Oct 28, 2015
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Moataz Sayed
Title
Manager
Phone
(248) 629-7497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

624 E 9 Mile Rd
Hazel Park, MI 48030-1842

Mailing address

PO Box 365
Hazel Park, MI 48030-0365
Phone (248) 629-7497

Other names 1

  • Neu Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160502002182 MI Part B Supplier - Clinic/Group Practice 7012216732 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Hazel Park, 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
23D2160253Dearborn Pain Center PLLC624 E 9 Mile Road, Hazel Park, MI 48030Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

5237 Oakman Blvd
Ste A100
Dearborn, MI 48126
Phone (313) 377-2534

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1174995203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480300365",
            "telephone_number": "248-629-7497",
            "fax_number": "248-397-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "248-629-7497",
            "fax_number": "248-397-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "SAYED",
        "authorized_official_first_name": "MOATAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-629-7497"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neu Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.