BAYSIDE PRIMARY CARE LLC
NPI 1093834830
Specialist in Prince Frederick, MD
About Bayside Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAYSIDE PRIMARY CARE LLC (NPI 1093834830) is a healthcare organization registered as a specialist in Prince Frederick, Maryland and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through February 22, 2028 and lists Deborah R Brower, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Bayside Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Bayside Primary Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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) 21D1051159
Bayside Primary Care · Prince Frederick, 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 Bayside Primary Care LLC's NPI number?
The NPI number for Bayside Primary Care LLC is 1093834830. It was assigned to this organization in the NPPES registry on March 29, 2007.
Where is Bayside Primary Care LLC located?
Bayside Primary Care LLC is located at 301 Steeple Chase Dr Ste 103, Prince Frederick, MD 20678. The listed phone number is (410) 414-5633.
What is Bayside Primary Care LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Bayside Primary Care LLC enrolled in Medicare?
Yes. Bayside Primary Care LLC is registered in the Medicare PECOS enrollment system.
When is Bayside Primary Care 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 March 31, 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 Bayside Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Bayside Primary Care 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bayside Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D1051159) is associated with this NPI, valid through February 22, 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 Bayside Primary Care LLC was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Bayside Primary Care Llc · NPI 1093834830
Specialist organization in Prince Frederick, Maryland. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1093834830 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Deborah Brower, OWNER
## Practice location
- **Address:** 301 STEEPLE CHASE DR, STE 103, Prince Frederick, MD 20678-4049
- **Phone:** (410) 414-5633 · **Fax:** (410) 414-5911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2014
- **Other identifiers:** Medicaid 410114600 (MD); Medicare UPIN P59831 (MD)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1093834830) · Data from the CMS NPPES public registry.