NPIMap

Organization Active NPI

Xpress Urgent Care LLC

  • General Practice Physician
  • Greenacres, FL
National Provider Identifier
1487160701
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
XPRESS URGENT CARE LLC
Practice address
3387 S Jog Rd Ste 103
Greenacres, FL 33467-2010
Phone
(561) 781-8090
Fax
(561) 781-8099
NPI assigned
Dec 22, 2017
Organization subpart
Yes
Parent organization
XPRESS URGENT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Mazin M Shikara, MDNPI 1316967912
Title
President
Phone
(561) 779-1652

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3387 S Jog Rd Ste 103
Greenacres, FL 33467-2010

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (561) 779-1652

Other identifiers 1

IdentifierTypeStateIssuer
008195612MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Xpress Urgent Carellc14 organizations share this tax ID, including this one
Part of
Xpress Urgent Carellc

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1487160701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "561-779-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 S JOG RD STE 103",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672010",
            "telephone_number": "561-781-8090",
            "fax_number": "561-781-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XPRESS URGENT CARE, LLC",
        "enumeration_date": "2017-12-22",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-779-1652",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008195612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.