Organization Active NPI

Med-Ex, LLC

Doing business as Canton Urgent Care

  • Urgent Care Clinic/Center
  • Canton, MA
National Provider Identifier
1730801986
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MED-EX, LLC
Doing business as
Canton Urgent Care
Practice address
95 Washington St Ste 204
Canton, MA 02021-4009
Phone
(857) 237-3350
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MED-EX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. Muhammad Ali Haider Bajwa, MDNPI 1558627455
Title
Owner
Phone
(857) 237-3350

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

95 Washington St Ste 204
Canton, MA 02021-4009

Mailing address

95 Washington St Ste 204
Canton, MA 02021-4009
Phone (857) 237-3350

Other names 1

  • Canton Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180910001911 MA Part B Supplier - Clinic/Group Practice 9335499524 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Acton, MA; Canton, MA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
22D2272524Canton Urgent Care95 Washington St Suite 204, Canton, MA 02021Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory
Part of
Med-Ex LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1730801986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "857-237-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST STE 204",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214009",
            "telephone_number": "857-237-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-EX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-EX, LLC",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ALI HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-237-3350",
        "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": [
        {
            "organization_name": "Canton Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.