Organization Active NPI

Medcenter Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1699244533
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDCENTER URGENT CARE PLLC
Practice address
33200 Dequindre Rd Ste 200
Sterling Heights, MI 48310-5967
Phone
(586) 977-0200
NPI assigned
Nov 21, 2018
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Fawaz Hasso, MDNPI 1972647196
Title
Owner
Phone
(586) 977-0200

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

33200 Dequindre Rd Ste 200
Sterling Heights, MI 48310-5967

Mailing address

33200 Dequindre Rd Ste 200
Sterling Heights, MI 48310-5967
Phone (586) 977-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220707001998 MI Part B Supplier - Clinic/Group Practice 2062892193 Receives reassigned benefits from 4 practitioners
Practice locations: Clinton Township, MI; Sterling Heights, 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
23D2162804Medcenter Urgent Care PLLC33200 Dequindre Suite 200, Sterling Heights, MI 48310Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

35455 Garfield Rd
Clinton Twp, MI 48035
Phone (586) 690-5230

33200 Dequindre Rd
Ste 200A
Sterling Heights, MI 48310
Phone (586) 977-0200

33200 Dequindre Rd
Sterling Hts, MI 48310

33200 Dequindre Rd
Ste 200
Sterling Hts, MI 48310
Phone (586) 772-3500

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": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1699244533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-977-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 DEQUINDRE RD STE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105967",
            "telephone_number": "586-977-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTER URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "HASSO",
        "authorized_official_first_name": "FAWAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-977-0200",
        "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 Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.