BLUE WATER URGENT CARE PLLC
NPI 1477135036
Clinic/Center - Urgent Care in Fort Gratiot, MI
About Blue Water Urgent Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE WATER URGENT CARE PLLC (NPI 1477135036) is a healthcare organization registered as an urgent care in Fort Gratiot, Michigan and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Ibrahim Dabaja, Ceo, 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)
Blue Water Urgent Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Blue Water Urgent Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Port Huron, MI 48060
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 23D2223020
Blue Water Urgent Care · Fort Gratiot, 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 Blue Water Urgent Care PLLC's NPI number?
The NPI number for Blue Water Urgent Care PLLC is 1477135036. It was assigned to this organization in the NPPES registry on April 23, 2021.
Where is Blue Water Urgent Care PLLC located?
Blue Water Urgent Care PLLC is located at 3941 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 882-9373.
What is Blue Water Urgent Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Blue Water Urgent Care PLLC enrolled in Medicare?
Yes. Blue Water Urgent Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Water Urgent Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Blue Water 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 (15), Cardiovascular Disease (Cardiology) (1) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Blue Water Urgent Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2223020) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Blue Water Urgent Care PLLC accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Blue Water 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 Blue Water Urgent Care PLLC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Blue Water Urgent Care Pllc · NPI 1477135036
Urgent Care organization in Fort Gratiot, Michigan. Organization record, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1477135036 (Entity type: Organization)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Ibrahim Dabaja, CEO
## Practice location
- **Address:** 3941 24TH AVE, Fort Gratiot, MI 48059-4102
- **Phone:** (810) 882-9373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Cardiovascular Disease (Cardiology) (1), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1477135036) · Data from the CMS NPPES public registry.