URGENT CARE CLINIC PLLC
NPI 1285411264
Clinic/Center - Urgent Care in Southampton, PA

Active since September 12, 2023CLIA 39D2298994 · Waiver
57 STREET RD UNIT 4, SOUTHAMPTON, PA 18966(267) 570-9988 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Urgent Care Clinic Pllc NPPES

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

URGENT CARE CLINIC PLLC (NPI 1285411264) is a healthcare organization registered as an urgent care in Southampton, Pennsylvania and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Omid Rowshan, President, as its authorized official.

NPPES Registry Identity

NPI1285411264
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameURGENT CARE CLINIC PLLC
Location Address57 STREET RD UNIT 4Southampton, PA 18966-3100
Mailing Address57 Street Rd Unit 4Southampton, PA 18966-3100 · (267) 570-9988
Organization SubpartNo
Authorized OfficialOmid RowshanPresident · (267) 570-9988
Enumeration DateSeptember 12, 2023
Last NPPES UpdateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
✔ NPI 1285411264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
57 STREET RD UNIT 4, Southampton, PA 18966

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urgent Care Clinic Pllc 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 Urgent Care Clinic PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1255045829
57 STREET RD UNIT 4
Southampton, PA 18966
(215) 754-0033
✔ PECOS✔ Accepts Medicare10 mi
Emergency Medicine
NPI 1285680371
1 COOPER PLZ
Camden, NJ 08103
(856) 356-4924
✔ PECOS✔ Accepts Medicare27 mi
Emergency Medicine
NPI 1164659009
700 WALNUT ST
Philadelphia, PA 19106
(215) 503-7300
✔ PECOS✔ Accepts Medicare27 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 39D2298994

Urgent Care Clinic · Southampton, PA
Active · expires Feb 12, 2028
CLIA Number39D2298994
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorDr. Omid Rowshan
Laboratory Phone(267) 570-9988
Laboratory LocationUrgent Care Clinic57 Street Rd, Unit 4, Southampton, PA 18966
CLIA data matches this NPI record on: Address 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 Urgent Care Clinic PLLC's NPI number?

The NPI number for Urgent Care Clinic PLLC is 1285411264. It was assigned to this organization in the NPPES registry on September 12, 2023.

Where is Urgent Care Clinic PLLC located?

Urgent Care Clinic PLLC is located at 57 Street Rd Unit 4, Southampton, PA 18966. The listed phone number is (267) 570-9988.

What is Urgent Care Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Urgent Care Clinic PLLC enrolled in Medicare?

Yes. Urgent Care Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urgent Care Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Urgent Care Clinic PLLC, in Emergency Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urgent Care Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2298994) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Urgent Care Clinic PLLC was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.