NPIMap

Organization Active NPI

Vernor Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1487085395
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VERNOR URGENT CARE PLLC
Practice address
3456 W Vernor Hwy
Detroit, MI 48216-1551
Phone
(313) 254-9693
Fax
(734) 629-1567
NPI assigned
Dec 2, 2013
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Sameer A Huraibi, MDNPI 1437219391
Title
Owner Physician
Phone
(313) 254-9693

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 MI Primary

Addresses

Primary practice location

3456 W Vernor Hwy
Detroit, MI 48216-1551

Mailing address

3456 W Vernor Hwy
Detroit, MI 48216-1551
Phone (313) 254-9693

Other identifiers 4

IdentifierTypeStateIssuer
1487085395OtherMIAETNA ANCILLARY
700H286540OtherMIBC ANCILLARY PIN
700H286540OtherMIBCN ANCILLARY PIN
1487085395OtherMIMIDWEST ANCILLARY

National Provider Directory

National Provider Directory
Tax ID family
Vernor Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3456 W Vernor Hwy
Detroit, MI 48216
Phone (248) 720-8600

Practitioners & affiliated clinicians

Practitioners 7

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": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1487085395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161551",
            "telephone_number": "313-254-9693",
            "fax_number": "734-629-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161551",
            "telephone_number": "313-254-9693",
            "fax_number": "734-629-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNOR URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "HURAIBI",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "313-254-9693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ANCILLARY",
            "identifier": "1487085395",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ANCILLARY PIN",
            "identifier": "700H286540",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN ANCILLARY PIN",
            "identifier": "700H286540",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST ANCILLARY",
            "identifier": "1487085395",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.