Organization Active NPI

City Urgent Care PC

Doing business as Detroit Urgent Care

  • Sports Medicine (Family Medicine) Physician
  • Detroit, MI
National Provider Identifier
1326404443
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301082473 Issued in MI
Legal business name
CITY URGENT CARE PC
Doing business as
Detroit Urgent Care
Practice address
13403 W 7 Mile Rd
Detroit, MI 48235-1387
Phone
(248) 850-8395
Fax
(248) 850-8495
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Mr. Nader Shaya
Title
Practice Admin
Phone
(248) 850-8395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301082473 MI Primary

Addresses

Primary practice location

13403 W 7 Mile Rd
Detroit, MI 48235-1387

Mailing address

13403 W 7 Mile Rd
Detroit, MI 48235-1387
Phone (248) 850-8395

Other names 1

  • Detroit Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160411001984 MI Part B Supplier - Clinic/Group Practice 2163720939 Receives reassigned benefits from 5 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

13403 W 7 Mile Rd
Detroit, MI 48235
Phone (313) 308-2444

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1326404443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351387",
            "telephone_number": "248-850-8395",
            "fax_number": "248-850-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351387",
            "telephone_number": "248-850-8395",
            "fax_number": "248-850-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "SHAYA",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "248-850-8395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301082473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.