NPIMap

Organization Active NPI

Midwest Urgent Care,LLC

  • General Practice Physician
  • Omaha, NE
National Provider Identifier
1639678303
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16006 Issued in NE
Legal business name
MIDWEST URGENT CARE,LLC
Practice address
727 N 120TH St
Omaha, NE 68154-4212
Phone
(402) 493-2100
NPI assigned
Feb 7, 2018
Last updated
Feb 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Authorized official

Name
Dr. Vijay K Agarwal, MDNPI 1033267406
Title
Owner
Phone
(402) 493-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16006 NE Primary

Addresses

Primary practice location

727 N 120TH St
Omaha, NE 68154-4212

Mailing address

727 N 120TH St
Omaha, NE 68154-4212
Phone (402) 493-2100

Other identifiers 1

IdentifierTypeStateIssuer
1205257821MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1639678303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544212",
            "telephone_number": "402-493-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544212",
            "telephone_number": "402-493-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST URGENT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-493-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "16006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205257821",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.