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PINNACLE FAMILY CARE PRACTICE
NPI 1053066936
Nurse Practitioner - Family in Baltimore, MD

Active since February 18, 2022CLIA 21D2268045 · Waiver
5835 YORK RD, BALTIMORE, MD 21212(443) 912-5077(410) 835-7865 Get Directions Write a Review

NPPES record last updated: November 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2022, Feb 18, 2022 (2 updates tracked since 2022).

About Pinnacle Family Care Practice NPPES

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

PINNACLE FAMILY CARE PRACTICE (NPI 1053066936) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Adenike A. Popoola, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1053066936
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePINNACLE FAMILY CARE PRACTICE
Location Address5835 YORK RDBaltimore, MD 21212-3612
Mailing Address10220 S Dolfield Rd Ste 105Owings Mills, MD 21117-3660 · (443) 912-5077 · Fax (410) 835-7865
Phone(443) 912-5077
Fax(410) 835-7865
Organization SubpartNo
Authorized OfficialAdenike A. PopoolaManaging Director · (443) 527-1497
Enumeration DateFebruary 18, 2022
Last NPPES UpdateNovember 6, 20222 updates tracked since enumeration
NPPES CertifiedNovember 6, 2022
✔ NPI 1053066936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5835 YORK RD, Baltimore, MD 21212
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Other Names 1

Doing Business AsPinnacle Family Care Practice

Other Identifiers 2

Medicaid622039800MD
OtherR224315MD · Family Medicine

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

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 21D2268045

Pinnacle Family Care Practice LLC · Owings Mills, MD
Active · expires Sep 5, 2026
CLIA Number21D2268045
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorAdenike Popoola
Laboratory Phone(443) 912-5077
Laboratory LocationPinnacle Family Care Practice LLC10220 S Dolfield Rd Suite 105, Owings Mills, MD 21117
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 Pinnacle Family Care Practice's NPI number?

The NPI number for Pinnacle Family Care Practice is 1053066936. It was assigned to this organization in the NPPES registry on February 18, 2022.

Where is Pinnacle Family Care Practice located?

Pinnacle Family Care Practice is located at 5835 York Rd, Baltimore, MD 21212. The listed phone number is (443) 912-5077.

What is Pinnacle Family Care Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Pinnacle Family Care Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2268045) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Family Care Practice was last updated on November 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.