UC Medical Group PLLC
Organization Active NPI Urgent Care Clinic/Center · Plano, TX
NPI 1194515536 · NPPES record last updated May 24, 2025
Key facts
- NPI
- 1194515536
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- UC MEDICAL GROUP PLLC
- Practice address
- 9613 Coit Rd Ste 104
Plano, TX 75024-7378 - Phone
- (617) 835-7944
- NPI assigned
- May 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Rohan Datta, DO
- Title
- Co-Owner
- Phone
- (617) 835-7944
Practitioners 6
-
Rohan Datta, DO
-
Tamseela Gurru, MD
-
Loretta Craig, FNP-C
-
Lijo Abraham, FNP
-
Hamenti Patel, FNP-C
-
Yannick N Nkeng, PAC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2329921 | UC Medical Group PLLC | Certificate of waiver | Sep 7, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250627003809 | TX | Part B Supplier - Clinic/Group Practice | 8325551849 |
Receives reassigned benefits from 6 practitioners Practice locations: Plano, TX |
National Provider Directory
Locations
9613 Coit Rd
Ste 104
Plano, TX 75024
Phone (903) 225-9827
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
9613 Coit Rd Ste 104
Plano, TX 75024-7378
Mailing address
PO Box 250267
Plano, TX 75025-0267
Other names
- QuickAid Urgent Care
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All providers in Plano, TX · Urgent Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.