KINGDOM MEDICINE ADMINISTRATIVE SERVICES, INC.
NPI 1164984977
Internal Medicine in Owings Mills, MD

Active since April 01, 2019
90 PAINTERS MILL RD STE 205, OWINGS MILLS, MD 21117(410) 907-1565(443) 445-4111 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 7, 2024, Apr 1, 2019 (2 updates tracked since 2019).

About Kingdom Medicine Administrative Services, Inc. NPPES

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

KINGDOM MEDICINE ADMINISTRATIVE SERVICES, INC. (NPI 1164984977) is a healthcare organization registered as an internal medicine in Owings Mills, Maryland and active in the NPI registry since April 2019. The organization lists Leonard Allison Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1164984977
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKINGDOM MEDICINE ADMINISTRATIVE SERVICES, INC.
Location Address90 PAINTERS MILL RD STE 205Owings Mills, MD 21117-3614
Mailing Address8401 Summit AveWindsor Mill, MD 21244-1169
Fax(443) 445-4111
Organization SubpartNo
Authorized OfficialLeonard Allison RichardsonPresident · (410) 381-8078
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 7, 20242 updates tracked since enumeration
NPPES CertifiedJuly 7, 2024
✔ NPI 1164984977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
90 PAINTERS MILL RD STE 205, Owings Mills, MD 21117

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingdom Medicine Administrative Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kingdom Medicine Administrative Services, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1053384750
9520 BERGER RD STE 212
Columbia, MD 21046
(410) 381-8078
✔ PECOS✔ Accepts Medicare17 mi

Source: 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 Kingdom Medicine Administrative Services, Inc.'s NPI number?

The NPI number for Kingdom Medicine Administrative Services, Inc. is 1164984977. It was assigned to this organization in the NPPES registry on April 1, 2019.

Where is Kingdom Medicine Administrative Services, Inc. located?

Kingdom Medicine Administrative Services, Inc. is located at 90 Painters Mill Rd Ste 205, Owings Mills, MD 21117. The listed phone number is (410) 907-1565.

What is Kingdom Medicine Administrative Services, Inc.'s specialty?

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

Is Kingdom Medicine Administrative Services, Inc. enrolled in Medicare?

Yes. Kingdom Medicine Administrative Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kingdom Medicine Administrative Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kingdom Medicine Administrative Services, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kingdom Medicine Administrative Services, Inc. was last updated on July 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.