Organization Active NPI

Z Affordable Urgent Care LLC

  • Urgent Care Clinic/Center
  • Houston, TX
National Provider Identifier
1306486782
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
Z AFFORDABLE URGENT CARE LLC
Practice address
11503 Southwest Fwy Ste C
Houston, TX 77031-3627
Phone
(832) 335-4213
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Mekonen Weldeghbriel, FNPNPI 1831662816
Title
Clinician
Phone
(832) 335-4213

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

11503 Southwest Fwy Ste C
Houston, TX 77031-3627

Mailing address

11503 Southwest Fwy Ste C
Houston, TX 77031-3627

Other names 1

  • z affordable urgent care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213000508 TX Part B Supplier - Clinic/Group Practice 1355777236 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

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
45D2275143Z Affordable Urgent Care11503 Southwest Fwy, Houston, TX 77031Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

11503 Southwest Fwy
Houston, TX 77031

11503 Southwest Fwy
Ste C
Houston, TX 77031
Phone (832) 335-4213

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": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1306486782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 SOUTHWEST FWY STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 SOUTHWEST FWY STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313627",
            "telephone_number": "832-335-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z AFFORDABLE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "WELDEGHBRIEL",
        "authorized_official_first_name": "MEKONEN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "832-335-4213",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "z affordable urgent care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "z affordable urgent care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.