PRIMECARE MED LLC
NPI 1164667192
Internal Medicine in Rockville, MD

Active since December 04, 2008CLIA 21D0865676 · Waiver
50 W EDMONSTON DR, SUITE 401, ROCKVILLE, MD 20852(301) 762-3030(301) 762-3998 Get Directions Write a Review

NPPES record last updated: December 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primecare Med Llc NPPES

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

PRIMECARE MED LLC (NPI 1164667192) is a healthcare organization registered as an internal medicine in Rockville, Maryland and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Pankaj Talwar, Sole Proprietor/owner, as its authorized official.

NPPES Registry Identity

NPI1164667192
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMECARE MED LLC
Location Address50 W EDMONSTON DR, SUITE 401Rockville, MD 20852-1228
Mailing AddressPo Box 60620Potomac, MD 20859-0620 · (301) 762-3030 · Fax (301) 762-3998
Fax(301) 762-3998
Organization SubpartNo
Authorized OfficialPankaj TalwarSole Proprietor/owner · (301) 762-3030
Enumeration DateDecember 4, 2008
✔ NPI 1164667192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
50 W EDMONSTON DR, Rockville, MD 20852

Other Identifiers 1

Other213065701MD · Owner Ss#

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

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)

Primecare Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20090128000459Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Primecare Med 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)

Internal Medicine
NPI 1174546410
50 W EDMONSTON DR #401
Rockville, MD 20852
(301) 762-3030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770015794
10810 DARNESTOWN RD STE 202
Gaithersburg, MD 20878
(301) 424-1780
✔ PECOS✔ Accepts Medicare5.0 mi

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 21D0865676

Prime Care Med LLC · Rockville, MD
Active · expires Apr 10, 2027
CLIA Number21D0865676
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorPankaj Talwar
Laboratory Phone(301) 762-3030
Laboratory LocationPrime Care Med LLC50 West Edmonston Drive, Rockville, MD 20852
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primecare Med LLC's NPI number?

The NPI number for Primecare Med LLC is 1164667192. It was assigned to this organization in the NPPES registry on December 4, 2008.

Where is Primecare Med LLC located?

Primecare Med LLC is located at 50 W Edmonston Dr Suite 401, Rockville, MD 20852. The listed phone number is (301) 762-3030.

What is Primecare Med LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Primecare Med LLC enrolled in Medicare?

Yes. Primecare Med LLC is registered in the Medicare PECOS enrollment system.

When is Primecare Med 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 (District of Columbia, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Primecare Med LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Primecare Med LLC, in Internal Medicine and Nurse Practitioner. 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 Primecare Med LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0865676) is associated with this NPI, valid through April 10, 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 Primecare Med LLC was last updated on December 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.