SOUTHSHORE URGENT CARE PLLC.
NPI 1356804710
Clinic/Center - Urgent Care in Brownstown Twp, MI
About Southshore Urgent Care Pllc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSHORE URGENT CARE PLLC. (NPI 1356804710) is a healthcare organization registered as an urgent care in Brownstown Twp, Michigan and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Ibrahim Dabaja, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southshore Urgent Care Pllc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Southshore Urgent Care PLLC., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 23D2170258
Southshore Urgent Care PLLC · Brownstown, MIFrequently 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 Southshore Urgent Care PLLC.'s NPI number?
The NPI number for Southshore Urgent Care PLLC. is 1356804710. It was assigned to this organization in the NPPES registry on April 11, 2019.
Where is Southshore Urgent Care PLLC. located?
Southshore Urgent Care PLLC. is located at 20789 Gibraltar Rd, Brownstown Twp, MI 48183. The listed phone number is (734) 444-2961.
What is Southshore Urgent Care PLLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Southshore Urgent Care PLLC. enrolled in Medicare?
Yes. Southshore Urgent Care PLLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southshore Urgent Care PLLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Southshore 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 Nurse Practitioner (8), Family Practice (2) and Cardiovascular Disease (Cardiology) (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southshore Urgent Care PLLC. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2170258) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southshore Urgent Care PLLC. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Southshore Urgent Care PLLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southshore Urgent Care PLLC. was last updated on December 19, 2022. 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.
# Southshore Urgent Care Pllc. · NPI 1356804710
Urgent Care organization in Brownstown Twp, Michigan. Organization record, active in the CMS NPPES registry since April 11, 2019.
## Identity
- **NPI:** 1356804710 (Entity type: Organization)
- **Enumerated:** April 11, 2019
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Ibrahim Dabaja, OWNER
## Practice location
- **Address:** 20789 GIBRALTAR RD, Brownstown Twp, MI 48183-5087
- **Phone:** (734) 444-2961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (2), Cardiovascular Disease (Cardiology) (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356804710) · Data from the CMS NPPES public registry.