Organization Active NPI

Urgent Care Plus, PC

  • Urgent Care Clinic/Center
  • Eastpointe, MI
National Provider Identifier
1760922553
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4301077637 Issued in MI
Legal business name
URGENT CARE PLUS, PC
Practice address
16184 E 10 Mile Rd Ste 102
Eastpointe, MI 48021
Phone
(586) 779-4550
Fax
(586) 779-4551
NPI assigned
Feb 28, 2017
Last updated
May 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Dr. Nwanneka Odumodu, M.D.NPI 1619934320
Title
Medical Director
Phone
(734) 276-7239

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 4301077637 MI Primary

Addresses

Primary practice location

16184 E 10 Mile Rd Ste 102
Eastpointe, MI 48021

Mailing address

16184 E 10 Mile Rd Ste 102
Eastpointe, MI 48021-1160
Phone (734) 276-7239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180621002431 MI Part B Supplier - Clinic/Group Practice 0143575787 Receives reassigned benefits from 1 practitioner
Practice locations: Eastpointe, 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
23D2148906Urgent Care Plus, PC16184 E 10 Mile Road Suite 102, Eastpointe, MI 48021Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Locations

16184 E 10 Mile Rd
Ste 102
Eastpointe, MI 48021
Phone (586) 779-4550

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": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1760922553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16184 E 10 MILE RD STE 102",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480211160",
            "telephone_number": "734-276-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16184 E 10 MILE RD STE 102",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-779-4550",
            "fax_number": "586-779-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE PLUS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "ODUMODU",
        "authorized_official_first_name": "NWANNEKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "734-276-7239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301077637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.