CARROLL FAMILY MEDICINE, LLC
NPI 1043240708
Family Medicine in Hampstead, MD

Active since July 05, 2006CLIA 21D0937433 · Microscopy
814 HOUCKSVILLE RD, HAMPSTEAD, MD 21074(410) 239-0406(410) 239-0407 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carroll Family Medicine, Llc NPPES

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

CARROLL FAMILY MEDICINE, LLC (NPI 1043240708) is a healthcare organization registered as a family medicine in Hampstead, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through December 15, 2027 and lists Peter G Uggowitzer, President/owner, as its authorized official.

NPPES Registry Identity

NPI1043240708
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARROLL FAMILY MEDICINE, LLC
Location Address814 HOUCKSVILLE RDHampstead, MD 21074-1882
Mailing Address814 Houcksville RdHampstead, MD 21074-1882 · (410) 239-0406 · Fax (410) 239-0407
Fax(410) 239-0407
Organization SubpartNo
Authorized OfficialPeter G UggowitzerPresident/owner · (410) 239-0406
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1043240708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
814 HOUCKSVILLE RD, Hampstead, MD 21074

Other Identifiers 9

Other0877346MD · Aetna Us Healthcare
Other4508793MD · Aetna Mc/ppo/epo
OtherCN 7035MD · Railroad Medicare
Other11071MD · Preferred Health Network
OtherE289MD · Bc/bs Fed/blue Choice
Medicaid745191100MD
OtherKC91CAMD · Bc/bs Par/ppn/pos
OtherMAMSIMD · 250778
Other10112104MD · Cigna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Carroll Family Medicine, Llc 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
StateMarylandEnrollment IDO20050428000797Non-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 Carroll Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1255333274
814 HOUCKSVILLE RD
Hampstead, MD 21074
(410) 239-0406
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053984641
180 THOMAS JOHNSON DR STE 202
Frederick, MD 21702
(301) 631-6877
✔ PECOS✔ Accepts Medicare31 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 for Provider-Performed Microscopy Procedures (PPMP) 21D0937433

Carroll Family Medicine LLC · Hampstead, MD
Active · expires Dec 15, 2027
CLIA Number21D0937433
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorPeter G. Uggowitzer MD
Laboratory Phone(410) 239-0406
Laboratory LocationCarroll Family Medicine LLC814 N Houcksville Road, Hampstead, MD 21074
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Carroll Family Medicine, LLC's NPI number?

The NPI number for Carroll Family Medicine, LLC is 1043240708. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Carroll Family Medicine, LLC located?

Carroll Family Medicine, LLC is located at 814 Houcksville Rd, Hampstead, MD 21074. The listed phone number is (410) 239-0406.

What is Carroll Family Medicine, LLC's specialty?

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

Is Carroll Family Medicine, LLC enrolled in Medicare?

Yes. Carroll Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

When is Carroll Family Medicine, LLC'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 (Maryland, 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 Carroll Family Medicine, LLC?

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

Does Carroll Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0937433) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carroll Family Medicine, LLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.