BOWIE PRIMARY CARE, INC
NPI 1205011640
Pediatrics in Bowie, MD
About Bowie Primary Care, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOWIE PRIMARY CARE, INC (NPI 1205011640), doing business as Azar M Dashti Md Pa, is a healthcare organization registered as a pediatrics in Bowie, Maryland and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Mariam M Bahrami, Owner/partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Bowie Primary Care, 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 Bowie Primary Care, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 21D0210097
Bowie Primary Care Inc · Bowie, MDFrequently 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 Bowie Primary Care, Inc's NPI number?
The NPI number for Bowie Primary Care, Inc is 1205011640. It was assigned to this organization in the NPPES registry on January 3, 2008. The provider was formerly known as Azar M Dashti MD PA.
Where is Bowie Primary Care, Inc located?
Bowie Primary Care, Inc is located at 4379 Northview Drive, Bowie, MD 20716. The listed phone number is (301) 262-2627.
What is Bowie Primary Care, Inc's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Bowie Primary Care, Inc enrolled in Medicare?
Yes. Bowie Primary Care, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bowie Primary Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bowie Primary Care, 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.
Does Bowie Primary Care, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D0210097) is associated with this NPI, valid through July 29, 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 Bowie Primary Care, Inc was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Bowie Primary Care, Inc · NPI 1205011640
Pediatrics organization in Bowie, Maryland. Organization record, active in the CMS NPPES registry since January 3, 2008.
## Identity
- **NPI:** 1205011640 (Entity type: Organization)
- **Enumerated:** January 3, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Mariam Bahrami, OWNER/PARTNER
## Practice location
- **Address:** 4379 NORTHVIEW DRIVE, Bowie, MD 20716
- **Phone:** (301) 262-2627 · **Fax:** (301) 262-8411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205011640) · Data from the CMS NPPES public registry.