INTEGRATED WOUND CARE MANAGEMENT MARYLAND LLC
NPI 1154963056
General Practice in Prince Frederick, MD
About Integrated Wound Care Management Maryland Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED WOUND CARE MANAGEMENT MARYLAND LLC (NPI 1154963056) is a healthcare organization registered as a general practice in Prince Frederick, Maryland and active in the NPI registry since October 2019. The organization lists Diane Lusas, Member, 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)
Integrated Wound Care Management Maryland Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Integrated Wound Care Management Maryland LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Integrated Wound Care Maryland LLC's NPI number?
The NPI number for Integrated Wound Care Maryland LLC is 1154963056. It was assigned to this organization in the NPPES registry on October 11, 2019. The provider is also known as Integrated Wound Care Management Maryland LLC.
Where is Integrated Wound Care Maryland LLC located?
Integrated Wound Care Maryland LLC is located at 85 Hospital Rd, Prince Frederick, MD 20678. The listed phone number is (201) 870-1194.
What is Integrated Wound Care Maryland LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Integrated Wound Care Maryland LLC enrolled in Medicare?
Yes. Integrated Wound Care Maryland LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Wound Care Maryland LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to Integrated Wound Care Maryland 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 (20), General Surgery (2) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrated Wound Care Maryland LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Integrated Wound Care Management Maryland Llc · NPI 1154963056
General Practice organization in Prince Frederick, Maryland. Organization record, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1154963056 (Entity type: Organization)
- **Enumerated:** October 11, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Integrated Wound Care Maryland Llc
- **Organization subpart:** No
- **Authorized official:** Diane Lusas, MEMBER
## Practice location
- **Address:** 85 HOSPITAL RD, Prince Frederick, MD 20678-4018
- **Phone:** (201) 870-1194
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), General Surgery (2), Family Practice (1); [full list](https://npiprofile.com/npi/1154963056/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154963056) · Data from the CMS NPPES public registry.