COMMUNITY URGENT CARE PLLC
NPI 1609074665
Family Medicine in Dearborn, MI

Active since July 10, 2007
1816 GRINDLEY PARK ST, DEARBORN, MI 48124(313) 792-1200(313) 792-1201 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Community Urgent Care Pllc NPPES

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

COMMUNITY URGENT CARE PLLC (NPI 1609074665) is a healthcare organization registered as a family medicine in Dearborn, Michigan and active in the NPI registry since July 2007. The organization lists Faiz Rahman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609074665
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMUNITY URGENT CARE PLLC
Location Address1816 GRINDLEY PARK STDearborn, MI 48124-2504
Mailing Address1816 Grindley Park StDearborn, MI 48124-2504 · (313) 792-1200 · Fax (313) 792-1201
Fax(313) 792-1201
Organization SubpartNo
Authorized OfficialFaiz RahmanExecutive Director · (313) 792-1200
Enumeration DateJuly 10, 2007
Last NPPES UpdateApril 9, 2013
✔ NPI 1609074665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301080612
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1816 GRINDLEY PARK ST, Dearborn, MI 48124

Other Identifiers 7

Medicaid1609074665MI
Other0P47330MI · Medicare Pt
OtherDH0360MI · Railroad Medicare Group
Medicare UPINI41319MI
Other700H238250MI · Bcbs Group
Other700H238250MI · Bcn Group
OtherI41319MI · Hap

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20070906000475Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Community Urgent Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1598737041
1816 GRINDLEY PARK ST
Dearborn, MI 48124
(313) 792-1200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316010416
1816 GRINDLEY PARK ST
Dearborn, MI 48124
(734) 934-4163
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Urgent Care PLLC's NPI number?

The NPI number for Community Urgent Care PLLC is 1609074665. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Community Urgent Care PLLC located?

Community Urgent Care PLLC is located at 1816 Grindley Park St, Dearborn, MI 48124. The listed phone number is (313) 792-1200.

What is Community Urgent Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Community Urgent Care PLLC enrolled in Medicare?

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

When is Community Urgent Care PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Community Urgent Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Community 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Urgent Care PLLC accept?

Health plans from Priority Health list Community 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 Community Urgent Care PLLC was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.