OPTUM URGENT CARE, PLLC
NPI 1285975797
Clinic/Center - Urgent Care in Jericho, NY

Active since March 07, 2013CLIA 33D2069243 · Waiver
555 N BROADWAY, JERICHO, NY 11753(516) 622-6000 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optum Urgent Care, Pllc NPPES

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

OPTUM URGENT CARE, PLLC (NPI 1285975797), doing business as Prohealth Urgent Care, Pllc, is a healthcare organization registered as an urgent care in Jericho, New York and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Richard P. Morel, President, as its authorized official.

NPPES Registry Identity

NPI1285975797
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameOPTUM URGENT CARE, PLLC
Location Address555 N BROADWAYJericho, NY 11753-2134
Mailing Address1 Dakota Drive, Suite 320New Hyde Park, NY 11042-1113 · (516) 622-6000 · Fax (516) 622-6068
Organization SubpartYesParent: Prohealth Care Associates Llp
Authorized OfficialRichard P. MorelPresident · (516) 622-6000
Enumeration DateMarch 7, 2013
Last NPPES UpdateMay 6, 2023
NPPES CertifiedMay 6, 2023
✔ NPI 1285975797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
555 N BROADWAY, Jericho, NY 11753

Other Names 1

Former Legal Business NameProhealth Urgent Care, Pllc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

412

Medicare enrollment records show 412 clinicians reassign Medicare billing to Optum Urgent Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 126 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Emergency Medicine111
Diagnostic Radiology87
Nurse Practitioner51
Family Practice46
Internal Medicine32
Anesthesiology22
Pediatric Medicine17
Podiatry6
21 other specialties40

Nearest to this location (20)

See all 412
Emergency Medicine
NPI 1720135775
555 N. BROADWAY
Jericho, NY 11753
(516) 597-5070
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1508866542
555 N BROADWAY
Jericho, NY 11753
(516) 597-5070
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316005895
366 N BROADWAY SUITE 305
Jericho, NY 11753
(516) 935-7272
✔ PECOS0.1 mi
Internal Medicine
NPI 1578569125
575 UNDERHILL BLVD STE 190
Syosset, NY 11791
(516) 921-2817
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1295214682
575 UNDERHILL BLVD STE 210
Syosset, NY 11791
(516) 935-9111
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1700317195
575 UNDERHILL BLVD STE 190
Syosset, NY 11791
(516) 210-8840
✔ PECOS✔ Accepts Medicare1.9 mi
Emergency Medicine
NPI 1386768356
221 JERICHO TPKE EMERGENCY DEPARTMENT
Syosset, NY 11791
(516) 496-6550
✔ PECOS✔ Accepts Medicare2.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972874998
221 JERICHO TPKE
Syosset, NY 11791
(516) 496-6500
2.0 mi
Emergency Medicine
NPI 1730251497
221 JERICHO TPKE
Syosset, NY 11791
(516) 496-6550
✔ PECOS✔ Accepts Medicare2.0 mi
Family Practice
NPI 1609212190
700 OLD COUNTRY RD STE 105
Plainview, NY 11803
(516) 809-2500
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1811547896
43 CROSSWAYS PARK DR W
Woodbury, NY 11797
(516) 938-3000
✔ PECOS✔ Accepts Medicare3.0 mi
Internal Medicine
NPI 1245232560
123 STEWART AVE
Hicksville, NY 11801
(516) 433-0770
✔ PECOS✔ Accepts Medicare3.0 mi
Internal Medicine
NPI 1770585093
123 STEWART AVE
Hicksville, NY 11801
(516) 433-0770
✔ PECOS✔ Accepts Medicare3.0 mi
Emergency Medicine
NPI 1285640201
888 OLD COUNTRY RD
Plainview, NY 11803
(800) 376-5566
✔ PECOS✔ Accepts Medicare3.3 mi
Anesthesiology
NPI 1265485668
1055 STEWART AVE
Bethpage, NY 11714
(516) 948-0100
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1255436945
1181 OLD COUNTRY RD SUITE 3
Plainview, NY 11803
(516) 931-2320
✔ PECOS✔ Accepts Medicare4.0 mi
Anesthesiology
NPI 1649231572
2201 HEMPSTEAD TPKE
East Meadow, NY 11554
(516) 572-0213
✔ PECOS✔ Accepts Medicare4.5 mi
Diagnostic Radiology
NPI 1578613923
2201 HEMPSTEAD TPKE NASSAU UNIVERSITY MEDICAL CENTER
East Meadow, NY 11554
(516) 572-6131
✔ PECOS✔ Accepts Medicare4.5 mi
Gastroenterology
NPI 1700809449
158 CENTRAL AVE.
Bethpage, NY 11714
(516) 758-8600
✔ PECOS4.9 mi
Gastroenterology
NPI 1285886416
158 CENTRAL AVE.
Bethpage, NY 11714
(516) 758-8600
✔ PECOS✔ Accepts Medicare4.9 mi
See all 412 clinicians

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 33D2069243

Optum Urgent Care PLLC · Jericho, NY
Active · expires May 31, 2027
CLIA Number33D2069243
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDr. John Villacci
Laboratory Phone(516) 597-5070
Laboratory LocationOptum Urgent Care PLLC555 North Broadway, Jericho, NY 11753
CLIA data matches this NPI record on: Address Name
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 Optum Urgent Care, PLLC's NPI number?

The NPI number for Optum Urgent Care, PLLC is 1285975797. It was assigned to this organization in the NPPES registry on March 7, 2013. The provider was formerly known as Prohealth Urgent Care, PLLC.

Where is Optum Urgent Care, PLLC located?

Optum Urgent Care, PLLC is located at 555 N Broadway, Jericho, NY 11753. The listed phone number is (516) 622-6000.

What is Optum Urgent Care, PLLC's specialty?

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

Is Optum Urgent Care, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Optum Urgent Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 412 clinicians in 29 Medicare specialties reassign their Medicare billing to Optum Urgent Care, PLLC. 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. The largest specialties are Emergency Medicine (111), Diagnostic Radiology (87) and Nurse Practitioner (51). Of these, 2 practice at this address and 126 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optum Urgent Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2069243) is associated with this NPI, valid through May 31, 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 Optum Urgent Care, PLLC was last updated on May 6, 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.