NPIMap

Organization Active NPI

M15 Urgent Care PC

  • Emergency Medicine Physician
  • Ortonville, MI
National Provider Identifier
1194017673
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
M15 URGENT CARE PC
Practice address
250 N. Ortonville Rd
Suite C
Ortonville, MI 48462-8308
Phone
(248) 793-7113
Fax
(248) 793-7128
NPI assigned
May 3, 2011
Last updated
Jul 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Ahmed Arif, M.D.NPI 1841249836
Title
President
Phone
(248) 793-7113

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
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

250 N. Ortonville Rd
Suite C
Ortonville, MI 48462-8308

Mailing address

250 N. Ortonville Rd
Suite C
Ortonville, MI 48462-8308
Phone (248) 793-7113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000574 MI Part B Supplier - Clinic/Group Practice 9830363837 Receives reassigned benefits from 13 practitioners
Practice locations: Ortonville, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1194017673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N. ORTONVILLE RD",
            "address_2": "SUITE C",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628308",
            "telephone_number": "248-793-7113",
            "fax_number": "248-793-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N. ORTONVILLE RD",
            "address_2": "SUITE C",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628308",
            "telephone_number": "248-793-7113",
            "fax_number": "248-793-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M15 URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "ARIF",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-793-7113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.