1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Clinic Center
  6. NPI Profile

MEDEX URGENT CARE LLC
NPI 1629855648
Clinic/Center - Urgent Care in Philadelphia, PA

Active since September 12, 2023CLIA Certified · 2 labs
15200 BUSTLETON AVE STE 4, PHILADELPHIA, PA 19116(215) 376-3339(877) 349-8376 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2026, Apr 7, 2025, Mar 17, 2025 and 2 more (5 updates tracked since 2023).

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

NPI1629855648
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDEX URGENT CARE LLC
Location Address15200 BUSTLETON AVE STE 4Philadelphia, PA 19116-1196
Mailing Address352 2nd Street Pike # 180Southampton, PA 18966-3834
Phone(215) 376-3339
Fax(877) 349-8376
Organization SubpartNo
Authorized OfficialDaniel KoganOwner · (215) 376-3339
Enumeration DateSeptember 12, 2023
Last NPPES UpdateApril 6, 20265 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1629855648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
15200 BUSTLETON AVE STE 4, Philadelphia, PA 19116
Open in Google Maps ↗

Secondary Practice Location 1

Location 11619 Grant Ave Ste 4CPhiladelphia, PA 19115-3161 · Phone (215) 346-3339

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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, PA
Active · expires Feb 8, 2028
CLIA Number39D2338263
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Daniel Kogan
Laboratory Phone(215) 346-3339
Laboratory LocationMedex Urgent Care1619 Grant Ave, Unit 4C, Philadelphia, PA 19115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2299999

Medex Urgent Care · Philadelphia, PA
Active · expires Feb 29, 2028
CLIA Number39D2299999
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Daniel Kogan
Laboratory Phone(215) 971-4440
Laboratory LocationMedex Urgent Care15200 Bustleton Avenue, Philadelphia, PA 19116
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SVETLANA ROTT CRNP
Nurse Practitioner (Family)
15200 BUSTLETON AVE STE 4
PHILADELPHIA, PA 19116
Philadelphia County (215) 376-3339

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 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.

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 4 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.