PRIMECARE URGENT CARE PLLC
NPI 1174875140
Clinic/Center - Urgent Care in Novi, MI

NPI Status: Active since October 15, 2012

Contact Information

39555 W 10 MILE RD
SUITE 301
NOVI, MI
ZIP 48375
Phone: (248) 426-7200

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 23D2048594
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-18-2026

About PRIMECARE URGENT CARE PLLC

This page provides the complete NPI Profile along with additional information for Primecare Urgent Care Pllc, a provider established in Novi, Michigan operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1174875140 assigned on October 2012. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Theodore Shively D.o (Owner)

NPI
1174875140
Provider Name
PRIMECARE URGENT CARE PLLC
Entity Type
Organization
Location Address
39555 W 10 MILE RD SUITE 301 NOVI, MI 48375
Location Phone
(248) 426-7200
Mailing Address
39555 W 10 MILE RD SUITE 301 NOVI, MI 48375
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2012
Last Update Date
12-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Bronze - Trinity Health East Network - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Gold Trinity Health East Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Standard Silver - Trinity Health East Network - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Essential+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value (No Referrals) - HMO
  • UHC Silver Value+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THEODORE SHIVELY D.O

Authorized Official Title
OWNER
Authorized Official Phone
(248) 755-2274

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2048594
Facility Type
Practitioner Other
Certificate Effective Date
October 19, 2024
Certificate Expiration Date
October 18, 2026
Laboratory Director
ROBERT ZAID
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primecare Urgent Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PRIMECARE URGENT CARE PLLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174875140, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 6 + 7 + 1 + 0 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1174875140.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine
39555 W 10 MILE RD, SUITE 302
NOVI, MI 48375
Podiatrist
39555 W 10 MILE RD, SUITE 307
NOVI, MI 48375
Podiatrist
39555 W 10 MILE RD, SUITE 307
NOVI, MI 48375
Chiropractor
39555 W 10 MILE RD, #307
NOVI, MI 48375
Family Medicine
39555 W 10 MILE RD, SUITE 305
NOVI, MI 48375
Dietitian, Registered
39555 W 10 MILE RD, SUITE 302
NOVI, MI 48375
Dentist
39555 W 10 MILE RD
NOVI, MI 48375
Nurse Practitioner (Family)
39555 W 10 MILE RD
NOVI, MI 48375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174875140, enumerated as an "organization" on October 15, 2012.

The provider is located at 39555 W 10 MILE RD SUITE 301 NOVI, MI 48375 and the phone number is (248) 426-7200.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.