Organization Active NPI

Fastcaremd Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1285110312
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FASTCAREMD URGENT CARE PC
Practice address
27250 Cherry Hill Rd
Dearborn Heights, MI 48127-3677
Phone
(313) 406-2222
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Dr. Rodwan Fadlallah, MDNPI 1255772604
Title
President
Phone
(313) 406-2222

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

27250 Cherry Hill Rd
Dearborn Heights, MI 48127-3677

Mailing address

27250 Cherry Hill Rd
Dearborn Heights, MI 48127-3677
Phone (313) 406-2222

Other names 1

  • FastCareMD Urgent Care PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181212003178 MI Part B Supplier - Clinic/Group Practice 2062757479 Receives reassigned benefits from 2 practitioners
Practice locations: Dearborn Heights, 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
23D2158049Fastcaremd Urgent Care PC27250 Cherry Hill Road, Dearborn Heights, MI 48127Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

27250 Cherry Hill Rd
Dearborn Heights, MI 48127
Phone (313) 406-2222

Practitioners & affiliated clinicians

Practitioners 2

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": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1285110312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27250 CHERRY HILL RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273677",
            "telephone_number": "313-406-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27250 CHERRY HILL RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273677",
            "telephone_number": "313-406-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTCAREMD URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2023-02-22",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "FADLALLAH",
        "authorized_official_first_name": "RODWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-406-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FastCareMD Urgent Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.