Organization Active NPI

Transition & Urgent Care Team PLLC

  • Hospitalist Physician
  • Mount Clemens, MI
National Provider Identifier
1922706332
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
TRANSITION & URGENT CARE TEAM PLLC
Practice address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone
(313) 610-8019
Fax
(586) 204-0169
NPI assigned
Feb 16, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kimberlie Staricco
Title
Manager
Phone
(313) 610-8019

Practitioners 3

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213000681 MI Part B Supplier - Clinic/Group Practice 3375986789 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Clemens, MI

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Mailing address

23292 Liberty St
Saint Clair Shores, MI 48080-1509

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1922706332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23292 LIBERTY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "313-610-8019",
            "fax_number": "586-204-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITION & URGENT CARE TEAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "STARICCO",
        "authorized_official_first_name": "KIMBERLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-610-8019"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.