Organization Active NPI

TCH Urgent Care LLC

  • Urgent Care Clinic/Center
  • Summerfield, FL
National Provider Identifier
1609617620
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
TCH URGENT CARE LLC
Doing business as
TCH Urgent Care LLC
Practice address
17190 SE 109TH Terrace Rd
Summerfield, FL 34491-9017
Phone
(352) 268-0003
Fax
(855) 642-1129
NPI assigned
Jun 4, 2024
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Shrikanth P Upadya, MDNPI 1750492195
Title
Owner / Ceo
Phone
(352) 268-0003

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 NU Primary

Addresses

Primary practice location

17190 SE 109TH Terrace Rd
Summerfield, FL 34491-9017

Mailing address

17190 SE 109TH Terrace Rd
Summerfield, FL 34491-9017
Phone (352) 268-0003

Other names 1

  • TCH Urgent Care LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203000724 FL Part B Supplier - Clinic/Group Practice 9436688694 Receives reassigned benefits from 3 practitioners
Practice locations: Summerfield, 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
10D2306531TCH Urgent Care LLC17190 SE 109TH Terrace Rd, Summerfield, FL 34491Certificate of waiverJun 18, 2028

National Provider Directory

National Provider Directory

Locations

17190 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 268-0003

17190 SE 109th Terrace Rd
Ste A
Summerfield, FL 34491
Phone (352) 268-0003

Practitioners & affiliated clinicians

Practitioners 4

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1609617620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17190 SE 109TH TERRACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919017",
            "telephone_number": "352-268-0003",
            "fax_number": "855-642-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17190 SE 109TH TERRACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919017",
            "telephone_number": "352-268-0003",
            "fax_number": "855-642-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCH URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "UPADYA",
        "authorized_official_first_name": "SHRIKANTH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "352-268-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCH Urgent Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TCH Urgent Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.