MEDEX URGENT CARE LLC
NPI 1629855648
Clinic/Center - Urgent Care in Philadelphia, PA
About Medex Urgent Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDEX URGENT CARE LLC (NPI 1629855648) is a healthcare organization registered as an urgent care in Philadelphia, Pennsylvania and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Philadelphia, and lists Daniel Kogan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Medex Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Medex Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 2
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 39D2338263
Medex Urgent Care · Philadelphia, PACertificate of Waiver 39D2299999
Medex Urgent Care · Philadelphia, PAFrequently 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 Medex Urgent Care LLC's NPI number?
The NPI number for Medex Urgent Care LLC is 1629855648. It was assigned to this organization in the NPPES registry on September 12, 2023.
Where is Medex Urgent Care LLC located?
Medex Urgent Care LLC is located at 15200 Bustleton Ave Ste 4, Philadelphia, PA 19116. The listed phone number is (215) 376-3339.
What is Medex Urgent Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Medex Urgent Care LLC enrolled in Medicare?
Yes. Medex Urgent Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medex Urgent Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Medex 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 Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medex Urgent Care LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Medex Urgent Care LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Medex Urgent Care LLC 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 Medex Urgent Care LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Medex Urgent Care Llc · NPI 1629855648
Urgent Care organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since September 12, 2023.
## Identity
- **NPI:** 1629855648 (Entity type: Organization)
- **Enumerated:** September 12, 2023
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Daniel Kogan, OWNER
## Practice location
- **Address:** 15200 BUSTLETON AVE STE 4, Philadelphia, PA 19116-1196
- **Phone:** (215) 376-3339 · **Fax:** (877) 349-8376
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629855648) · Data from the CMS NPPES public registry.