Promed Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PROMED URGENT CARE PLLC

Practice address

19041 E 12 Mile Rd Ste 102
Roseville, MI 48066-2609

Phone

(586) 252-2937

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Ankur Patel, NPNPI 1245636091

Title

Authorized Official

Phone

(586) 252-2937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ankur Patel, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Macomb, MI
  • NPI 1245636091
  Medicare reassignment Care Compare group Authorized official
• Manolis Kyriacou, MD

  • Family Medicine Physician
  • Grosse Pointe Farms, MI
  • NPI 1710193354
  Medicare reassignment Care Compare group NPD
• Rupinder Dadiala, NP-C

  • Family Nurse Practitioner
  • Canton, MI
  • NPI 1730761594
  Medicare reassignment NPD
• Rochelle Harris, NP

  • Family Nurse Practitioner
  • Highland Park, MI
  • NPI 1184083974
  Medicare reassignment NPD
• Babar Azeem Qadri, PA

  • Physician Assistant
  • Southfield, MI
  • NPI 1285908129
  Medicare reassignment

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1396409454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19041 E 12 MILE RD STE 102",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662609",
            "telephone_number": "586-252-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19041 E 12 MILE RD STE 102",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662609",
            "telephone_number": "586-252-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-252-2937",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Popiolek
• Robert B Popovski, DO
• Primary Care Associates, PC
• Professional Dental Alliance of Michigan, LLC
• Promed Primary Care PLLC
• Psychiatric Services of Grosse Pointe
• Public Supplies LLC
• Pura LLC
• Michele L Puzzuoli, LMSW
• Grace Lozada Quiogue

• Urgent Care Clinic/Center in Roseville, MI
• Providers in Roseville, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.