QUIKMED URGENT CARE
NPI 1114979598
Internal Medicine in Watertown, NY

Active since May 16, 2006CLIA 33D1052276 · Waiver
727 WASHINGTON ST, WATERTOWN, NY 13601(315) 785-7009(315) 785-8566 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Quikmed Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUIKMED URGENT CARE (NPI 1114979598) is a healthcare organization registered as an internal medicine in Watertown, New York and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Edmund J Roache, Owner, as its authorized official.

NPPES Registry Identity

NPI1114979598
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLNESS PHYSICIAN CARE PLLC
Location Address727 WASHINGTON STWatertown, NY 13601-4031
Mailing AddressPo Box 91Watertown, NY 13601-0091 · (315) 782-4207 · Fax (315) 782-8699
Fax(315) 785-8566
Organization SubpartNo
Authorized OfficialEdmund J RoacheOwner · (315) 785-7009
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 30, 2008
✔ NPI 1114979598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
727 WASHINGTON ST, Watertown, NY 13601

Other Names 1

Doing Business AsQuikmed Urgent Care

Other Identifiers 2

Medicare PINBA0870
Medicaid02779344NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quikmed Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Quikmed Urgent Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1780636704
200 MULLIN ST
Watertown, NY 13601
(315) 785-8591
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1194107086
53 PUBLIC SQ # 59 301
Watertown, NY 13601
(315) 782-2141
✔ PECOS0.6 mi
Registered Dietitian or Nutrition Professional
NPI 1619290095
1001 WEST ST
Carthage, NY 13619
(315) 493-1000
15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1052276

Quikmed Urgent Care · Watertown, NY
Active · expires Feb 4, 2027
CLIA Number33D1052276
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDr. Edmund J. Roache
Laboratory Phone(315) 785-7009
Laboratory LocationQuikmed Urgent Care513 Washington St Suite 1B, Watertown, NY 13601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Physician Care PLLC's NPI number?

The NPI number for Wellness Physician Care PLLC is 1114979598. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Quikmed Urgent Care.

Where is Wellness Physician Care PLLC located?

Wellness Physician Care PLLC is located at 727 Washington St, Watertown, NY 13601. The listed phone number is (315) 785-7009.

What is Wellness Physician Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wellness Physician Care PLLC enrolled in Medicare?

Yes. Wellness Physician Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellness Physician Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wellness Physician Care PLLC, in Internal Medicine, Nurse Practitioner and Registered Dietitian or Nutrition Professional. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellness Physician Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1052276) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Physician Care PLLC was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.