Organization Active NPI

First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
National Provider Identifier
1629201264
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FIRST CHOICE URGENT CARE PC
Practice address
23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone
(313) 438-6094
Fax
(313) 438-6132
NPI assigned
Aug 31, 2009
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Ali Hassan, MDNPI 1316906142
Title
President
Phone
(313) 438-6094

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 Primary

Addresses

Primary practice location

23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908

Mailing address

23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (313) 438-6094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100126000872 MI Part B Supplier - Clinic/Group Practice 9739221912 Receives reassigned benefits from 79 practitioners
Practice locations: Waterford, MI; Washington, MI; Warren, MI; Taylor, MI; Southfield, MI; Garden City, MI; Saint Clair Shores, MI; Royal Oak, MI…
O20160216002799 MI DME Supplier - Physician - General Practice 9739221912 Practice locations: Dearborn, MI

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
23D2055205First Choice Urgent Care23455 Michigan Avenue, Dearborn, MI 48124Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

12841 Ford Rd
Dearborn, MI 48126
Phone (313) 710-4199

23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001

31450 Ford Rd
Garden City, MI 48135
Phone (734) 268-1333

31450 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 438-6094

11502 Middlebelt Rd
Livonia, MI 48150
Phone (734) 762-0739

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

25515 Harper Ave
St Clr Shores, MI 48081
Phone (248) 850-8395

10155 Telegraph Rd
Taylor, MI 48180
Phone (734) 333-8001

25600 Schoenherr Rd
Warren, MI 48089
Phone (586) 777-6170

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Practitioners & affiliated clinicians

Practitioners 288

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 288

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1629201264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23455 MICHIGAN AVE",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-438-6094",
            "fax_number": "313-438-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23455 MICHIGAN AVE",
            "address_2": "SUITE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241908",
            "telephone_number": "313-438-6094",
            "fax_number": "313-438-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-438-6094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.