ANGEL EYE MEDICAL LLC
NPI 1225733181
Nurse Practitioner - Family in Silver Spring, MD

Active since March 31, 2023
1738 ELTON RD STE 316, SILVER SPRING, MD 20903(443) 525-7803 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angel Eye Medical Llc NPPES

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

ANGEL EYE MEDICAL LLC (NPI 1225733181) is a healthcare organization registered as a family in Silver Spring, Maryland and active in the NPI registry since March 2023. The organization lists Kenderlate Arthus, Owner, as its authorized official.

NPPES Registry Identity

NPI1225733181
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANGEL EYE MEDICAL LLC
Location Address1738 ELTON RD STE 316Silver Spring, MD 20903-1725
Mailing Address9101 Cherry Ln Ste 111Laurel, MD 20708-1150 · (443) 525-7803
Organization SubpartNo
Authorized OfficialKenderlate ArthusOwner · (443) 525-7803
Enumeration DateMarch 31, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1225733181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1738 ELTON RD STE 316, Silver Spring, MD 20903

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)

Angel Eye Medical Llc 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 Angel Eye Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1043980550
3110 GRACEFIELD RD
Silver Spring, MD 20904
(301) 572-8340
✔ PECOS2.5 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 Angel Eye Medical LLC's NPI number?

The NPI number for Angel Eye Medical LLC is 1225733181. It was assigned to this organization in the NPPES registry on March 31, 2023.

Where is Angel Eye Medical LLC located?

Angel Eye Medical LLC is located at 1738 Elton Rd Ste 316, Silver Spring, MD 20903. The listed phone number is (443) 525-7803.

What is Angel Eye Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angel Eye Medical LLC enrolled in Medicare?

Yes. Angel Eye Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angel Eye Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Angel Eye Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angel Eye Medical LLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.