OWENSVILLE PRIMARY CARE, INC
NPI 1174019327
Family Medicine in Shady Side, MD

Active since July 10, 2018CLIA 21D0699127 · Waiver
6131 SHADY SIDE RD, SHADY SIDE, MD 20764(410) 867-2200(410) 867-1261 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jan 2, 2025, Mar 8, 2022 and 1 more (4 updates tracked since 2018).

About Owensville Primary Care, Inc NPPES

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

OWENSVILLE PRIMARY CARE, INC (NPI 1174019327), doing business as Bay Community Health, is a healthcare organization registered as a family medicine in Shady Side, Maryland and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through November 16, 2026, maintains a secondary practice location in Lothian, and lists Christina Varga, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1174019327
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOWENSVILLE PRIMARY CARE, INC
Location Address6131 SHADY SIDE RDShady Side, MD 20764-9504
Mailing Address134 Owensville RdWest River, MD 20778-9702 · (410) 867-4700 · Fax (410) 867-4934
Fax(410) 867-1261
Organization SubpartYesParent: 1225110067
Authorized OfficialChristina VargaRevenue Cycle Manager · (410) 867-4700
Enumeration DateJuly 10, 2018
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1174019327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · H78924
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LC0431 (MD)
Also ListedInternal MedicineTaxonomy 207R00000X · License D0038563 (MD)
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License H0076407 (MD)
Also ListedPhysician AssistantTaxonomy 363A00000X · License C0003844 (MD)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R124971 (MD)
6131 SHADY SIDE RD, Shady Side, MD 20764

Other Names 1

Doing Business AsBay Community Health

Secondary Practice Location 1

Location 15408 Southern Maryland BlvdLothian, MD 20711-2601 · Phone (410) 867-4700 · Fax (410) 867-4934

Other Identifiers 8

Medicaid97991100MD
Medicaid1063914836MD
Medicaid209002300MD
Medicaid338427600MD
Medicaid400629100MD
Medicaid404482700MD
Medicaid103559201MD
Medicaid531981100MD

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 MULTIPLE SINGLE 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 21D0699127

Owensville Primary Care Inc Dba Bay Comm Health · West River, MD
Active · expires Nov 16, 2026
CLIA Number21D0699127
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. Catherine G. Njiru-Sewer
Laboratory Phone(410) 867-4700
Laboratory LocationOwensville Primary Care Inc Dba Bay Comm Health134 Owensville Rd, West River, MD 20778
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
6131 SHADY SIDE RD
SHADY SIDE, MD 20764

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 Owensville Primary Care, Inc's NPI number?

The NPI number for Owensville Primary Care, Inc is 1174019327. It was assigned to this organization in the NPPES registry on July 10, 2018. The provider is doing business as Bay Community Health.

Where is Owensville Primary Care, Inc located?

Owensville Primary Care, Inc is located at 6131 Shady Side Rd, Shady Side, MD 20764. The listed phone number is (410) 867-2200.

What is Owensville Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Owensville Primary Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0699127) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Owensville Primary Care, Inc was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.