GRAND PRAIRIE URGENT CARE PLLC
NPI 1568187235
Clinic/Center - Urgent Care in Grand Prairie, TX

Active since October 05, 2022CLIA 45D1093392 · Waiver
5204 S HWY 360 STE 400, GRAND PRAIRIE, TX 75052(972) 755-1785(972) 602-4522 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Grand Prairie Urgent Care Pllc NPPES

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

GRAND PRAIRIE URGENT CARE PLLC (NPI 1568187235) is a healthcare organization registered as an urgent care in Grand Prairie, Texas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Sireesha Janga, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1568187235
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameGRAND PRAIRIE URGENT CARE PLLC
Location Address5204 S HWY 360 STE 400Grand Prairie, TX 75052-0947
Mailing Address5204 S Hwy 360 Ste 400Grand Prairie, TX 75052-0947 · (972) 971-7945 · Fax (972) 602-4522
Fax(972) 602-4522
Organization SubpartNo
Authorized OfficialSireesha JangaMedical Director · (972) 755-1758
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1568187235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
5204 S HWY 360 STE 400, Grand Prairie, TX 75052

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Grand Prairie Urgent Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1447286471
5204 S HWY 360 STE 400
Grand Prairie, TX 75052
(972) 755-1785
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1972094779
4635 FRANKFORD RD
Dallas, TX 75287
(469) 495-9106
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1275169724
2552 ELDORADO PKWY
Frisco, TX 75033
(469) 495-9114
✔ PECOS✔ Accepts Medicare38 mi
Emergency Medicine
NPI 1962440073
7602 WEDGEWOOD LN
Houston, TX 77055
(713) 682-4087
✔ PECOS✔ Accepts Medicare218 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 45D1093392

Grand Prairie Urgent Care · Grand Prairie, TX
Active · expires Aug 31, 2027
CLIA Number45D1093392
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorSireesha Janga
Laboratory Phone(972) 755-1785
Laboratory LocationGrand Prairie Urgent Care5204 S State Hwy 360 Suite 400, Grand Prairie, TX 75052
CLIA data matches this NPI record on: 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 Grand Prairie Urgent Care PLLC's NPI number?

The NPI number for Grand Prairie Urgent Care PLLC is 1568187235. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Grand Prairie Urgent Care PLLC located?

Grand Prairie Urgent Care PLLC is located at 5204 S Hwy 360 Ste 400, Grand Prairie, TX 75052. The listed phone number is (972) 755-1785.

What is Grand Prairie Urgent Care PLLC's specialty?

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

Is Grand Prairie Urgent Care PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Grand Prairie Urgent Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Grand Prairie Urgent Care PLLC, in Emergency Medicine, Internal 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grand Prairie Urgent Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1093392) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Prairie Urgent Care PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Grand Prairie 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 Grand Prairie Urgent Care PLLC was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.