MENON MEDICAL CENTER LLC
NPI 1245636455
Internal Medicine in Kensington, MD

Active since November 15, 2014CLIA 21D2099112 · Waiver
10605 CONCORD ST, SUITE 300, KENSINGTON, MD 20895(301) 942-9833(301) 942-9837 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Menon Medical Center Llc NPPES

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

MENON MEDICAL CENTER LLC (NPI 1245636455) is a healthcare organization registered as an internal medicine in Kensington, Maryland and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Roji Menon, President, as its authorized official.

NPPES Registry Identity

NPI1245636455
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMENON MEDICAL CENTER LLC
Location Address10605 CONCORD ST, SUITE 300Kensington, MD 20895-2504
Mailing AddressPo Box 645Kensington, MD 20895-0645 · (301) 942-9833 · Fax (301) 942-9837
Fax(301) 942-9837
Organization SubpartNo
Authorized OfficialRoji MenonPresident · (301) 942-9833
Enumeration DateNovember 15, 2014
Last NPPES UpdateApril 7, 2016
✔ NPI 1245636455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0057879
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.
10605 CONCORD ST, Kensington, MD 20895

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)

Menon Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Menon Medical Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1639269046
10901 CONNECTICUT AVE SUITE # 100
Kensington, MD 20895
(301) 942-7900
✔ PECOS✔ Accepts Medicare0.3 mi
Registered Dietitian or Nutrition Professional
NPI 1225757321
1431 CRESTRIDGE DR
Silver Spring, MD 20910
(202) 964-1095
✔ Accepts Medicare2.6 mi

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 21D2099112

Menon Medical Center LLC · Rockville, MD
Active · expires Jul 20, 2027
CLIA Number21D2099112
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorDr. Roji Menon
Laboratory Phone(301) 942-9833
Laboratory LocationMenon Medical Center LLC6010 Executive Blvd Suite 1040, Rockville, MD 20852
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Menon Medical Center LLC's NPI number?

The NPI number for Menon Medical Center LLC is 1245636455. It was assigned to this organization in the NPPES registry on November 15, 2014.

Where is Menon Medical Center LLC located?

Menon Medical Center LLC is located at 10605 Concord St Suite 300, Kensington, MD 20895. The listed phone number is (301) 942-9833.

What is Menon Medical Center LLC's specialty?

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

Is Menon Medical Center LLC enrolled in Medicare?

Yes. Menon Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Menon Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Menon Medical Center LLC, in Internal Medicine and Registered Dietitian or Nutrition Professional. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Menon Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2099112) is associated with this NPI, valid through July 20, 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 Menon Medical Center LLC was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.