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CHARM CITY PRIMARY CARE, LLC
NPI 1114321767
Clinic/Center - Primary Care in Baltimore, MD

Active since October 10, 2014CLIA 21D2281189 · Waiver
2220 REISTERSTOWN RD, BALTIMORE, MD 21217(301) 675-1296(443) 535-0773 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2024, May 31, 2021, Oct 2, 2015 (3 updates tracked since 2015).

About Charm City Primary Care, Llc NPPES

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

CHARM CITY PRIMARY CARE, LLC (NPI 1114321767) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Devesh Dhruva Kanjarpane, Chief Medical Officer (cmo), as its authorized official.

NPPES Registry Identity

NPI1114321767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHARM CITY PRIMARY CARE, LLC
Location Address2220 REISTERSTOWN RDBaltimore, MD 21217-1928
Mailing Address6041 Winter Grain Path, Ste #1fClarksville, MD 21029-1224 · (301) 675-1296 · Fax (443) 535-0773
Phone(301) 675-1296
Fax(443) 535-0773
Organization SubpartNo
Authorized OfficialDevesh Dhruva KanjarpaneChief Medical Officer (cmo) · (301) 675-1296
Enumeration DateOctober 10, 2014
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1114321767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License D0040076 (MD)
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
2220 REISTERSTOWN RD, Baltimore, MD 21217
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 21D2281189

Charm City Primary Care Inc · Baltimore, MD
Active · expires May 2, 2027
CLIA Number21D2281189
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorDevesh Kanjarpane
Laboratory Phone(301) 975-1296
Laboratory LocationCharm City Primary Care Inc2218 Reisterstown Road, Baltimore, MD 21217
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

CHARM CITY BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296
CHARM CITY EARLY INTERVENTION PROGRAM
Clinic/Center (Rehabilitation, Substance Use Disorder)
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296
CHARM CITY OUTPATIENT TREATMENT LEVEL 1
Preventive Medicine (Addiction Medicine)
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296
CHARM CITY WITHDRAWAL MANAGEMENT
Preventive Medicine (Addiction Medicine)
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296
CHARM CITY MEDICAL INTENSIVE OUTPATIENT PROGRAM
Clinic/Center (Mental Health (Including Community Mental Health Center))
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296
LAURA TOWNES
Counselor (Addiction (Substance Use Disorder))
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (443) 535-9979
CHARM CITY OPIOID TREATMENT
Clinic/Center (Methadone)
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296
CHARM CITY DUI
Prevention Professional
2220 REISTERSTOWN RD
BALTIMORE, MD 21217
Baltimore City (301) 675-1296

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 Charm City Primary Care, LLC's NPI number?

The NPI number for Charm City Primary Care, LLC is 1114321767. It was assigned to this organization in the NPPES registry on October 10, 2014.

Where is Charm City Primary Care, LLC located?

Charm City Primary Care, LLC is located at 2220 Reisterstown Rd, Baltimore, MD 21217. The listed phone number is (301) 675-1296.

What is Charm City Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Charm City Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2281189) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charm City Primary Care, LLC was last updated on June 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.