Organization Active NPI

Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
National Provider Identifier
1821351610
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4301084551 Issued in MI
Legal business name
HOOVER URGENT CARE OF WARREN PLLC
Practice address
26000 Hoover Rd
Warren, MI 48089-1167
Phone
(586) 872-2288
Fax
(586) 872-2242
NPI assigned
Jun 18, 2012
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Dr. Nidal Hammoud, MDNPI 1508072687
Title
Owner
Phone
(586) 722-7070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301084551 MI
Urgent Care Clinic/Center 261QU0200X 4301084551 MI Primary

Addresses

Primary practice location

26000 Hoover Rd
Warren, MI 48089-1167

Mailing address

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 872-2288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000127 MI Part B Supplier - Clinic/Group Practice 6204073752 Receives reassigned benefits from 106 practitioners
Practice locations: Warren, MI; Taylor, MI; Sterling Heights, MI; Southgate, MI; Southfield, MI; Shelby Township, MI; Roseville, MI; Pontiac, 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
23D2046800Hoover Urgent Care of Warren26000 Hoover Road, Warren, MI 48089Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Locations

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Practitioners & affiliated clinicians

Practitioners 117

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.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1821351610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-872-2288",
            "fax_number": "586-872-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-872-2288",
            "fax_number": "586-872-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOVER URGENT CARE OF WARREN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "HAMMOUD",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-722-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084551",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301084551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.