Organization Active NPI

West Detroit Urgent Center PLLC

  • Urgent Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1730908815
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
WEST DETROIT URGENT CENTER PLLC
Doing business as
Fast Med
Practice address
18435 Plymouth Rd
Detroit, MI 48228-1125
Phone
(313) 673-8226
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Tarif Mustafa, MDNPI 1902870470
Title
Authorized Official
Phone
(313) 673-8226

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

18435 Plymouth Rd
Detroit, MI 48228-1125

Mailing address

18435 Plymouth Rd
Detroit, MI 48228-1125

Other names 1

  • Fast Med Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241105002710 MI Part B Supplier - Clinic/Group Practice 2365976990 Receives reassigned benefits from 2 practitioners
Practice locations: Detroit, 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
23D2330519Fast Med Urgent Care18435 Plymouth Road, Detroit, MI 48228Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

18435 Plymouth Rd
Detroit, MI 48228
Phone (313) 484-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1730908815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18435 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18435 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281125",
            "telephone_number": "313-673-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DETROIT URGENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "TARIF",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-673-8226",
        "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": "Fast Med",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fast Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.