Organization Active NPI

SRM Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Rosenberg, TX
National Provider Identifier
1942928064
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SRM URGENT CARE PLLC
Practice address
3514 Highway 36 S Ste 600
Rosenberg, TX 77471-9119
Phone
(716) 601-4010
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Jigisha Tanmay Shah, MDNPI 1891950770
Title
Medical Director/Manager
Phone
(716) 601-4010

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3514 Highway 36 S Ste 600
Rosenberg, TX 77471-9119

Mailing address

3514 Highway 36 S Ste 600
Rosenberg, TX 77471-9119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026000935 TX Part B Supplier - Clinic/Group Practice 1153797584 Receives reassigned benefits from 7 practitioners
Practice locations: Rosenberg, TX

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
45D2279677SRM Urgent Care3514 Highway 36 S, Suite 600, Rosenberg, TX 77471Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

3514 Highway 36 S
Rosenberg, TX 77471
Phone (281) 814-9979

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1942928064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 HIGHWAY 36 S STE 600",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774719119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 HIGHWAY 36 S STE 600",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774719119",
            "telephone_number": "716-601-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRM URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JIGISHA",
        "authorized_official_middle_name": "TANMAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "716-601-4010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

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