PRIMARY HEALTH & WELLNESS CENTER LLC
NPI 1225274061
Specialist in Ellicott City, MD
About Primary Health & Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY HEALTH & WELLNESS CENTER LLC (NPI 1225274061) is a healthcare organization registered as a specialist in Ellicott City, Maryland and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Mitul Dave, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Primary Health & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Primary Health & Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Ellicott City, MD 21042
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 21D2006711
Primary Health & Wellness Center,llc · Ellicott City, 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 Primary Health & Wellness Center LLC's NPI number?
The NPI number for Primary Health & Wellness Center LLC is 1225274061. It was assigned to this organization in the NPPES registry on December 29, 2008.
Where is Primary Health & Wellness Center LLC located?
Primary Health & Wellness Center LLC is located at 9055 Chevrolet Dr Suite 103, Ellicott City, MD 21042. The listed phone number is (410) 465-7850.
What is Primary Health & Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Primary Health & Wellness Center LLC enrolled in Medicare?
Yes. Primary Health & Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Health & Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Primary Health & Wellness Center LLC, in Family Practice, 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Health & Wellness Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2006711) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Primary Health & Wellness Center LLC was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Primary Health & Wellness Center Llc · NPI 1225274061
Specialist organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since December 29, 2008.
## Identity
- **NPI:** 1225274061 (Entity type: Organization)
- **Enumerated:** December 29, 2008
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mitul Dave, PRESIDENT
## Practice location
- **Address:** 9055 CHEVROLET DR, SUITE 103, Ellicott City, MD 21042-4016
- **Phone:** (410) 465-7850 · **Fax:** (410) 465-3716
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2010
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1225274061) · Data from the CMS NPPES public registry.