NPIMap

Organization Active NPI

Professional Urgent Care Services

  • Urgent Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1407283468
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME80430 Issued in FL
Legal business name
PROFESSIONAL URGENT CARE SERVICES
Practice address
640 Tyrone Blvd N
St Petersburg, FL 33710-7126
Phone
(727) 528-7827
Fax
(727) 528-7337
NPI assigned
Oct 4, 2013
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Shital-Hiten Upadhyay, MDNPI 1700823846
Title
Manager
Phone
(727) 528-7827

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 ME80430 FL Primary

Addresses

Primary practice location

640 Tyrone Blvd N
St Petersburg, FL 33710-7126

Mailing address

640 Tyrone Blvd N
St Petersburg, FL 33710-7126
Phone (727) 528-7827

Other practice location 1

6182 Gunn Hwy
Tampa, FL 33625-4014
Phone (813) 568-4388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140801000923 FL Part B Supplier - Clinic/Group Practice 2961628615 Receives reassigned benefits from 21 practitioners
Practice locations: St. Petersburg, FL

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
10D2066030Professional Urgent Care Services640 Tyrone Blvd N, Saint Petersburg, FL 33710Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

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 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1407283468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-528-7827",
            "fax_number": "727-528-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-528-7827",
            "fax_number": "727-528-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6182 Gunn Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254014",
            "country_code": "US",
            "telephone_number": "813-568-4388",
            "fax_number": "813-908-0127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL URGENT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "SHITAL-HITEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-528-7827",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME80430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.