Organization Active NPI

Hope Urgent Care Birch Run PLLC

  • Urgent Care Clinic/Center
  • Birch Run, MI
National Provider Identifier
1730676487
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HOPE URGENT CARE BIRCH RUN PLLC
Practice address
9143 Birch Run Rd Ste 3
Birch Run, MI 48415-9747
Phone
(810) 412-5590
Fax
(810) 412-5593
NPI assigned
Apr 18, 2018
Last updated
Apr 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Dr. Nusrat Javaid, MDNPI 1063501591
Title
President
Phone
(810) 412-5590

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

9143 Birch Run Rd Ste 3
Birch Run, MI 48415-9747

Mailing address

9171 Lapeer Rd Ste 100
Davison, MI 48423-3617
Phone (810) 412-5590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607002413 MI Part B Supplier - Clinic/Group Practice 8820321730 Receives reassigned benefits from 3 practitioners
Practice locations: Birch Run, 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
23D2169625Hope Urgent Care of Burch Run PLL9143 Birch Run Rd, Ste 3, Birch Run, MI 48415Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Locations

9143 Birch Run Rd
Ste 3
Birch Run, MI 48415
Phone (810) 412-5590

9197 Birch Run Rd
Ste 3
Birch Run, MI 48415
Phone (989) 244-6411

Practitioners & affiliated clinicians

Practitioners 3

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": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1730676487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 LAPEER RD STE 100",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233617",
            "telephone_number": "810-412-5590",
            "fax_number": "810-412-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9143 BIRCH RUN RD STE 3",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159747",
            "telephone_number": "810-412-5590",
            "fax_number": "810-412-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE URGENT CARE BIRCH RUN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-412-5590",
        "authorized_official_name_prefix": "Dr.",
        "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 Birch Run, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.