MEDCITY FAMILY CLINIC LLC
NPI 1093482705
Nurse Practitioner - Family in Baltimore, MD
About Medcity Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDCITY FAMILY CLINIC LLC (NPI 1093482705) is a healthcare organization registered as a family in Baltimore, Maryland and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Faith Olubukola Adebule, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medcity Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Medcity Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 of Waiver 21D2255107
Medcity Family Clinic LLC · Baltimore, MDFrequently 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 Medcity Family Clinic LLC's NPI number?
The NPI number for Medcity Family Clinic LLC is 1093482705. It was assigned to this organization in the NPPES registry on August 30, 2021.
Where is Medcity Family Clinic LLC located?
Medcity Family Clinic LLC is located at 2509 Washington Blvd, Baltimore, MD 21230. The listed phone number is (443) 565-2408.
What is Medcity Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Medcity Family Clinic LLC enrolled in Medicare?
Yes. Medcity Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medcity Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Medcity Family Clinic 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medcity Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2255107) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medcity Family Clinic LLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Medcity Family Clinic Llc · NPI 1093482705
Family organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since August 30, 2021.
## Identity
- **NPI:** 1093482705 (Entity type: Organization)
- **Enumerated:** August 30, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Medcity Family Clinic LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Faith Adebule, CEO
## Practice location
- **Address:** 2509 WASHINGTON BLVD, Baltimore, MD 21230-1406
- **Phone:** (443) 565-2408
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093482705) · Data from the CMS NPPES public registry.