NPIMap

Organization Active NPI

Shelby Urgent Care PC

  • Urgent Care Clinic/Center
  • Shelby TWP, MI
National Provider Identifier
1326320599
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SHELBY URGENT CARE PC
Practice address
51850 Dequindre Rd
Suite 1
Shelby TWP, MI 48316-2806
Phone
(586) 799-4082
Fax
(586) 799-4083
NPI assigned
Sep 14, 2011
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Fadi Demashkieh, MD
Title
Owner/ Physician
Phone
(248) 561-1291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
Sports Medicine (Family Medicine) Physician 207QS0010X NU

Addresses

Primary practice location

51850 Dequindre Rd
Suite 1
Shelby TWP, MI 48316-2806

Mailing address

51850 Dequindre Rd
Suite 1
Shelby TWP, MI 48316-2806
Phone (586) 799-4082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120116000055 MI Part B Supplier - Clinic/Group Practice 5597932525 Receives reassigned benefits from 79 practitioners
1 other NPI on this enrollment
Practice locations: Shelby Township, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 79

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 79

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1326320599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51850 DEQUINDRE RD",
            "address_2": "SUITE 1",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483162806",
            "telephone_number": "586-799-4082",
            "fax_number": "586-799-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51850 DEQUINDRE RD",
            "address_2": "SUITE 1",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483162806",
            "telephone_number": "586-799-4082",
            "fax_number": "586-799-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "DEMASHKIEH",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "248-561-1291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.