TCH URGENT CARE LLC
NPI 1609617620
Clinic/Center - Urgent Care in Summerfield, FL

Active since June 04, 2024CLIA 10D2306531 · Waiver
17190 SE 109TH TERRACE RD, SUMMERFIELD, FL 34491(352) 268-0003(855) 642-1129 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2024, Jun 4, 2024 (2 updates tracked since 2024).

About Tch Urgent Care Llc NPPES

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

TCH URGENT CARE LLC (NPI 1609617620) is a healthcare organization registered as an urgent care in Summerfield, Florida and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Shrikanth P Upadya, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1609617620
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameTCH URGENT CARE LLC
Location Address17190 SE 109TH TERRACE RDSummerfield, FL 34491-9017
Mailing Address17190 Se 109th Terrace RdSummerfield, FL 34491-9017 · (352) 268-0003 · Fax (855) 642-1129
Fax(855) 642-1129
Organization SubpartNo
Authorized OfficialShrikanth P UpadyaOwner / Ceo · (352) 268-0003
Enumeration DateJune 4, 2024
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1609617620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
17190 SE 109TH TERRACE RD, Summerfield, FL 34491

Other Names 1

Doing Business AsTch Urgent Care Llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tch Urgent Care Llc 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 Tch Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1770307100
2955 BROWNWOOD BLVD STE 107
The Villages, FL 32163
(352) 765-7100
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1083185169
4056 E STATE ROAD 44
Wildwood, FL 34785
(352) 268-0003
✔ PECOS✔ Accepts Medicare9.3 mi
Internal Medicine
NPI 1508422809
4056 E STATE ROAD 44
Wildwood, FL 34785
(352) 268-0003
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1003243718
10200 MUKILTEO SPEEDWAY
Mukilteo, WA 98275
(425) 525-6325
✔ PECOS✔ Accepts Medicare2,507 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 10D2306531

Tch Urgent Care LLC · Summerfield, FL
Active · expires Jun 18, 2028
CLIA Number10D2306531
Laboratory TypeUrgent Care Facility
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorVishnu Yelamanchi
Laboratory Phone(352) 268-0003
Laboratory LocationTch Urgent Care LLC17190 SE 109th Terrace Rd, Summerfield, FL 34491
CLIA data matches this NPI record on: Address 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 Tch Urgent Care LLC's NPI number?

The NPI number for Tch Urgent Care LLC is 1609617620. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Tch Urgent Care LLC located?

Tch Urgent Care LLC is located at 17190 SE 109th Terrace Rd, Summerfield, FL 34491. The listed phone number is (352) 268-0003.

What is Tch Urgent Care LLC's specialty?

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

Is Tch Urgent Care LLC enrolled in Medicare?

Yes. Tch Urgent Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tch Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Tch Urgent Care LLC. 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 (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tch Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2306531) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tch Urgent Care LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.