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ENNOBLE HC DMV LLC
NPI 1104492115
Family Medicine - Geriatric Medicine in Fulton, MD

Active since June 01, 2021
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759(862) 812-9010 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2025, Feb 13, 2025, Nov 8, 2022 and 2 more (5 updates tracked since 2021).

About Ennoble Hc Dmv Llc NPPES

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

ENNOBLE HC DMV LLC (NPI 1104492115) is a healthcare organization registered as a geriatric medicine in Fulton, Maryland and active in the NPI registry since June 2021. The organization lists Kush Das, Manager, as its authorized official.

NPPES Registry Identity

NPI1104492115
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameENNOBLE HC DMV LLC
Location Address8115 MAPLE LAWN BLVD STE 350Fulton, MD 20759-2683
Mailing Address39 V St NeWashington, DC 20002-1329 · (862) 812-9010
Phone(862) 812-9010
Organization SubpartNo
Authorized OfficialKush DasManager · (201) 956-8233
Enumeration DateJune 1, 2021
Last NPPES UpdateNovember 26, 20255 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1104492115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
8115 MAPLE LAWN BLVD STE 350, Fulton, MD 20759
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORD WELLNESS TRAINING & CONSULTING, LLC
Psychologist (Clinical)
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (240) 426-4030
ABIGAIL BLEYMAIER
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010
CYDNEE KARDASH
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010
NAZIK ELHASSAN
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010
PAMELA CHANDLER THOMAS
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010
KENNETH KORANTENG
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010
ABDUL CONTEH
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010
ESSIVI MESSAN
Behavior Technician
8115 MAPLE LAWN BLVD STE 350
FULTON, MD 20759
Howard County (866) 352-5010

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 Ennoble Hc Dmv LLC's NPI number?

The NPI number for Ennoble Hc Dmv LLC is 1104492115. It was assigned to this organization in the NPPES registry on June 1, 2021.

Where is Ennoble Hc Dmv LLC located?

Ennoble Hc Dmv LLC is located at 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759. The listed phone number is (862) 812-9010.

What is Ennoble Hc Dmv LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

What insurance does Ennoble Hc Dmv LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ennoble Hc Dmv LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ennoble Hc Dmv LLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.