PREMISE HEALTH OF MARYLAND MEDICAL P C
NPI 1073258661
Clinic/Center - Multi-Specialty in Frederick, MD

Active since April 28, 2022CLIA Certified · 2 labs
9021 BENNETT CREEK BLVD, FREDERICK, MD 21704(240) 346-3549 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Apr 28, 2022 (2 updates tracked since 2022).

About Premise Health Of Maryland Medical P C NPPES

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

PREMISE HEALTH OF MARYLAND MEDICAL P C (NPI 1073258661), doing business as Kite Employee Health Center, is a healthcare organization registered as a multi-specialty in Frederick, Maryland and active in the NPI registry since April 2022. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1073258661
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MARYLAND MEDICAL P C
Location Address9021 BENNETT CREEK BLVDFrederick, MD 21704-7639
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateApril 28, 2022
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1073258661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
9021 BENNETT CREEK BLVD, Frederick, MD 21704

Other Names 1

Doing Business AsKite Employee Health Center

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 21D2268569

Premise Health Of Maryland Medical, P C · Frederick, MD
Active · expires Sep 13, 2026
CLIA Number21D2268569
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorKaryn Rhan
Laboratory Phone(240) 341-3549
Laboratory LocationPremise Health Of Maryland Medical, P C9021 Bennett Creek Blvd, Frederick, MD 21704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2113396

Premise Health Of Maryland Medical P C · Frederick, MD
Active · expires May 22, 2028
CLIA Number21D2113396
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Seyedeh P. Alaie
Laboratory Phone(814) 913-0035
Laboratory LocationPremise Health Of Maryland Medical P C7407 Willow Road, Frederick, MD 21704
CLIA data matches this NPI record on: Name
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 Premise Health Of Maryland Medical P C's NPI number?

The NPI number for Premise Health Of Maryland Medical P C is 1073258661. It was assigned to this organization in the NPPES registry on April 28, 2022. The provider is doing business as Kite Employee Health Center.

Where is Premise Health Of Maryland Medical P C located?

Premise Health Of Maryland Medical P C is located at 9021 Bennett Creek Blvd, Frederick, MD 21704. The listed phone number is (240) 346-3549.

What is Premise Health Of Maryland Medical P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Maryland Medical P C 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.

When was this NPI record last updated?

The NPPES record for Premise Health Of Maryland Medical P C was last updated on February 2, 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.