Organization Active NPI

Daystar Urgent Care LLC

  • Urgent Care Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1740068212
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DAYSTAR URGENT CARE LLC
Practice address
1102 W Kemper Rd
Cincinnati, OH 45240-1764
Phone
(513) 429-3289
Fax
(513) 928-7689
NPI assigned
Sep 18, 2023
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mabel Efua Okoh Okai, NPNPI 1477274074
Title
Chief Nursing Officer
Phone
(513) 628-6285

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

1102 W Kemper Rd
Cincinnati, OH 45240-1764

Mailing address

453 Smiley Ave
Cincinnati, OH 45246-2217
Phone (513) 628-6285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240621001893 OH Part B Supplier - Clinic/Group Practice 8123561842 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

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
36D2292254Daystar Urgent Care1102 West Kemper Road, Cincinnati, OH 45240Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1740068212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SMILEY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462217",
            "telephone_number": "513-628-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W KEMPER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401764",
            "telephone_number": "513-429-3289",
            "fax_number": "513-928-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSTAR URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "OKOH OKAI",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "EFUA",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "513-628-6285",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.