Organization Active NPI

Community Urgent Care, LLC

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1326433376
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY URGENT CARE, LLC
Practice address
6407 S Cooper St Ste 117
Arlington, TX 76001-5813
Phone
(817) 472-7601
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Ahmed Shuja
Title
Managing Member
Phone
(214) 506-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6407 S Cooper St Ste 117
Arlington, TX 76001-5813

Mailing address

PO Box 941805
Plano, TX 75094-1805
Phone (469) 482-0861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615000541 TX Part B Supplier - Clinic/Group Practice 8123339306 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX; Coppell, TX; Frisco, TX

National Provider Directory

National Provider Directory

Locations

809 S MacArthur Blvd
Ste 400
Coppell, TX 75019
Phone (469) 498-2000

1200 Dolfie Ln
Ennis, TX 75119
Phone (972) 875-4500

12600 Rolater Rd
Ste 200
Frisco, TX 75035
Phone (817) 472-7601

16100 State Highway 121
Ste 110B
Frisco, TX 75035

16100 State Highway 121
Ste 110
Frisco, TX 75035
Phone (469) 590-0033

2600 W Pleasant Run Rd
Ste 300
Lancaster, TX 75146
Phone (817) 472-7601

22625 State Highway 249
Tomball, TX 77375

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1326433376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941805",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750941805",
            "telephone_number": "469-482-0861",
            "fax_number": "469-273-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 S COOPER ST STE 117",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015813",
            "telephone_number": "817-472-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-506-1136"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.