NPIMap

Organization Active NPI

Roseville Urgent Care, PC

  • Urgent Care Clinic/Center
  • Roseville, MI
National Provider Identifier
1811297070
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ROSEVILLE URGENT CARE, PC
Practice address
20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone
(586) 872-2288
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Lena Hamoud
Title
Administrator
Phone
(586) 872-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

20769 E 13 Mile Rd
Roseville, MI 48066-4503

Mailing address

20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000384 MI Part B Supplier - Clinic/Group Practice 8921281361 Receives reassigned benefits from 48 practitioners
Practice locations: Roseville, 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
23D2017816Roseville Urgent Care PC20769 E 13 Mile Road, Roseville, MI 48066Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

Practitioners & affiliated clinicians

Practitioners 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1811297070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20769 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664503",
            "telephone_number": "586-872-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20769 E 13 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664503",
            "telephone_number": "586-872-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "HAMOUD",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-872-2288"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.