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MADELIENE ELAINE, LLC
NPI 1255910063
Clinic/Center - Medical Specialty in Chevy Chase, MD

Active since April 07, 2021CLIA 21D2221431 · Microscopy
5530 WISCONSIN AVE STE 612, CHEVY CHASE, MD 20815(412) 638-8585 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madeliene Elaine, Llc NPPES

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

MADELIENE ELAINE, LLC (NPI 1255910063) is a healthcare organization registered as a medical specialty in Chevy Chase, Maryland and active in the NPI registry since April 2021. The organization holds a CLIA Microscopy certificate valid through April 20, 2027 and lists Madeliene Gainers, Owner, as its authorized official.

NPPES Registry Identity

NPI1255910063
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMADELIENE ELAINE, LLC
Location Address5530 WISCONSIN AVE STE 612Chevy Chase, MD 20815-4430
Mailing Address10536 Joyceton DrLargo, MD 20774-1332 · (412) 638-8585
Phone(412) 638-8585
Organization SubpartNo
Authorized OfficialMadeliene GainersOwner · (412) 638-8585
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1255910063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5530 WISCONSIN AVE STE 612, Chevy Chase, MD 20815
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeliene Elaine, 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 Madeliene Elaine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Madeliene Gainers, MD
Dermatology
NPI 1679779565
660 S. EUCLID AVENUE WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY
St Louis, MO 63110
(314) 454-8622
✔ PECOS✔ Accepts Medicare711 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 for Provider-Performed Microscopy Procedures (PPMP) 21D2221431

Madeliene Elaine LLC · Chevy Chase, MD
Active · expires Apr 20, 2027
CLIA Number21D2221431
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorMadeliene Gainers
Laboratory Phone(412) 638-8585
Laboratory LocationMadeliene Elaine LLC5530 Wisconsin Avenue #612, Chevy Chase, MD 20815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Madeliene Elaine, LLC's NPI number?

The NPI number for Madeliene Elaine, LLC is 1255910063. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Madeliene Elaine, LLC located?

Madeliene Elaine, LLC is located at 5530 Wisconsin Ave Ste 612, Chevy Chase, MD 20815. The listed phone number is (412) 638-8585.

What is Madeliene Elaine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Madeliene Elaine, LLC enrolled in Medicare?

Yes. Madeliene Elaine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madeliene Elaine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Madeliene Elaine, 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.

Does Madeliene Elaine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2221431) is associated with this NPI, valid through April 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 Madeliene Elaine, LLC was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.