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MDICS AT CIVISTA LLC
NPI 1225323496
Hospitalist in La Plata, MD

Active since June 15, 2011
5 GARRETT AVE, LA PLATA, MD 20646(443) 949-0814(443) 949-0825 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mdics At Civista Llc NPPES

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

MDICS AT CIVISTA LLC (NPI 1225323496) is a healthcare organization registered as a hospitalist in La Plata, Maryland and active in the NPI registry since June 2011. The organization lists Tim Delbrugge, Cfo, as its authorized official.

NPPES Registry Identity

NPI1225323496
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameMDICS AT CIVISTA LLC
Location Address5 GARRETT AVELa Plata, MD 20646-5960
Mailing AddressPo Box 69231Baltimore, MD 21264-9231 · (443) 949-0814 · Fax (443) 292-6814
Phone(443) 949-0814
Fax(443) 949-0825
Organization SubpartNo
Authorized OfficialTim DelbruggeCfo · (301) 693-8707
Enumeration DateJune 15, 2011
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1225323496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
5 GARRETT AVE, La Plata, MD 20646
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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)

Mdics At Civista Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

102

Medicare enrollment records show 102 clinicians reassign Medicare billing to Mdics At Civista LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner41
Internal Medicine29
Hospitalist20
Family Practice5
Pediatric Medicine4
Geriatric Medicine1
Nephrology1
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 102
Fareeha Alavi
Hospitalist
NPI 1174001226
5 GARRETT AVE
La Plata, MD 20646
(301) 609-4000
✔ PECOS✔ Accepts MedicareSame address
Melissa Brown, N.P.
Nurse Practitioner
NPI 1750730222
5 GARRETT AVE
La Plata, MD 20646
(407) 223-3444
✔ PECOS✔ Accepts MedicareSame address
Gretchen Machesney, NP
Nurse Practitioner
NPI 1134658867
5 GARRETT AVE
La Plata, MD 20646
(301) 609-5439
✔ PECOS✔ Accepts MedicareSame address
Njideka Oguejiofor, MD
Hospitalist
NPI 1053840884
5 GARRETT AVE
La Plata, MD 20646
(301) 609-4000
✔ PECOS✔ Accepts MedicareSame address
Allen Tengco, CRNP
Nurse Practitioner
NPI 1437874831
5 GARRETT AVE
La Plata, MD 20646
(301) 535-1715
✔ PECOS✔ Accepts MedicareSame address
Daniel Tummillo, M.D
Hospitalist
NPI 1346604337
5 GARRETT AVE
La Plata, MD 20646
(301) 609-4000
✔ PECOSSame address
Kirandeep Kaur, MD
Internal Medicine
NPI 1073742102
4255 ALTAMONT PL STE 203
White Plains, MD 20695
(301) 638-9505
✔ PECOS✔ Accepts Medicare4.8 mi
Edith Aniedobe, MD
Internal Medicine
NPI 1467641183
3460 OLD WASHINGTON RD STE 203A
Waldorf, MD 20602
(301) 638-9670
✔ PECOS✔ Accepts Medicare6.7 mi
Nichole Williams, FNP
Nurse Practitioner
NPI 1750852554
3460 OLD WASHINGTON RD STE 203A
Waldorf, MD 20602
(301) 638-9670
✔ PECOS✔ Accepts Medicare6.7 mi
Lulita Lucero-Ugalino, MD
Family Practice
NPI 1841452687
6B INDUSTRIAL PARK DRIVE UNIT 8
Waldorf, MD 20735
(301) 337-1219
✔ PECOS✔ Accepts Medicare6.9 mi
Olayemi Adedoja, DNP-CRNP
Nurse Practitioner
NPI 1437747805
9630 TRINITY CHURCH RD
Charlotte Hall, MD 20622
(240) 413-7635
✔ PECOS✔ Accepts Medicare8.2 mi
Janeika Grant, CRNP
Nurse Practitioner
NPI 1740751924
1201 ACCOKEEK LANDING DR
Accokeek, MD 20607
(202) 262-0380
✔ PECOS✔ Accepts Medicare9.2 mi
Lina Izzeldin, MD
Internal Medicine
NPI 1679276612
901 HARRY S TRUMAN DR N
Largo, MD 20774
(240) 677-0225
✔ PECOS15 mi
Vincent Okeke, M.D.
Hospitalist
NPI 1518961945
8909 OLD BRANCH AVE
Clinton, MD 20735
(301) 868-7274
✔ PECOS✔ Accepts Medicare17 mi
Randi Bouchillon, DNP, FNP-C
Nurse Practitioner
NPI 1437888138
85 HOSPITAL RD
Prince Frederick, MD 20678
(410) 535-2300
✔ PECOS20 mi
Carla Bowling, NP
Nurse Practitioner
NPI 1013439561
85 HOSPITAL RD
Prince Frederick, MD 20678
(443) 827-9593
✔ PECOS✔ Accepts Medicare20 mi
Madhu Borra, MD
Pediatric Medicine
NPI 1780871624
100 HOSPITAL RD
Prince Frederick, MD 20678
(410) 535-4000
✔ PECOS21 mi
Ikenna Ihim, MD
Internal Medicine
NPI 1679955066
100 HOSPITAL RD
Prince Frederick, MD 20678
(410) 535-4000
✔ PECOS✔ Accepts Medicare21 mi
Sayeed Farooqui, M.D.
Pediatric Medicine
NPI 1891782413
747 ALABAMA AVE SE
Washington, DC 20032
(202) 563-0100
✔ PECOS22 mi
Arnulfo Bonavente, M.D.
Family Practice
NPI 1619973534
6409 CRAIN HWY ROUTE 301
Upper Marlboro, MD 20772
(301) 952-8614
✔ PECOS✔ Accepts Medicare22 mi
See all 102 clinicians

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 Mdics At Civista LLC's NPI number?

The NPI number for Mdics At Civista LLC is 1225323496. It was assigned to this organization in the NPPES registry on June 15, 2011.

Where is Mdics At Civista LLC located?

Mdics At Civista LLC is located at 5 Garrett Ave, La Plata, MD 20646. The listed phone number is (443) 949-0814.

What is Mdics At Civista LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mdics At Civista LLC enrolled in Medicare?

Yes. Mdics At Civista LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mdics At Civista LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 102 clinicians in 8 Medicare specialties reassign their Medicare billing to Mdics At Civista LLC. 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. The largest specialties are Nurse Practitioner (41), Internal Medicine (29) and Hospitalist (20). Of these, 6 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mdics At Civista LLC was last updated on August 9, 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.