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CLARKSVILLE INTERNAL MEDICINE
NPI 1184347486
Internal Medicine in Clarksville, MD

Active since September 21, 2022
6124 RIPPLING TIDES TER, CLARKSVILLE, MD 21029(443) 248-1727(888) 560-5303 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clarksville Internal Medicine NPPES

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

CLARKSVILLE INTERNAL MEDICINE (NPI 1184347486) is a healthcare organization registered as an internal medicine in Clarksville, Maryland and active in the NPI registry since September 2022. The organization lists Dona Bowie, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1184347486
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLARKSVILLE INTERNAL MEDICINE
Location Address6124 RIPPLING TIDES TERClarksville, MD 21029-1535
Mailing Address6124 Rippling Tides TerClarksville, MD 21029-1535 · (443) 248-1727 · Fax (888) 560-5303
Phone(443) 248-1727
Fax(888) 560-5303
Organization SubpartNo
Authorized OfficialDona BowieBilling Manager · (301) 254-6364
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1184347486 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.
6124 RIPPLING TIDES TER, Clarksville, MD 21029
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarksville Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clarksville Internal Medicine, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Andrea Coker, FNP-BC
Certified Clinical Nurse Specialist (CNS)
NPI 1831736933
10230 NEW HAMPSHIRE AVE STE 103
Silver Spring, MD 20903
(301) 326-2759
✔ PECOS✔ Accepts Medicare13 mi
Eunice Udiani, DNP
Nurse Practitioner
NPI 1730441239
1504 WHISTLING DUCK DR
Upper Marlboro, MD 20774
(301) 523-7436
✔ PECOS✔ Accepts Medicare24 mi
Khawaja Farooq, MD
Internal Medicine
NPI 1447281308
2001 MEDICAL PARKWAY ACUTE CARE PAVILION
Annapolis, MD 21401
(443) 481-1000
✔ PECOS✔ Accepts Medicare26 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 Clarksville Internal Medicine's NPI number?

The NPI number for Clarksville Internal Medicine is 1184347486. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Clarksville Internal Medicine located?

Clarksville Internal Medicine is located at 6124 Rippling Tides Ter, Clarksville, MD 21029. The listed phone number is (443) 248-1727.

What is Clarksville Internal Medicine's specialty?

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

Is Clarksville Internal Medicine enrolled in Medicare?

Yes. Clarksville Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clarksville Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clarksville Internal Medicine, in Certified Clinical Nurse Specialist (CNS), 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clarksville Internal Medicine was last updated on September 21, 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.