INTERNAL MEDICINE PRACTICE, P.A.
NPI 1336231950
Clinic/Center - Primary Care in Hagerstown, MD
About Internal Medicine Practice, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERNAL MEDICINE PRACTICE, P.A. (NPI 1336231950) is a healthcare organization registered as a primary care in Hagerstown, Maryland and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Koduah Peprah, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 21D1102610
Internal Medicine Practice · Hagerstown, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Internal Medicine Practice, P.A.'s NPI number?
The NPI number for Internal Medicine Practice, P.A. is 1336231950. It was assigned to this organization in the NPPES registry on September 29, 2006.
Where is Internal Medicine Practice, P.A. located?
Internal Medicine Practice, P.A. is located at 324 E Antietam St Ste 306, Hagerstown, MD 21740. The listed phone number is (301) 739-0240.
What is Internal Medicine Practice, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Internal Medicine Practice, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D1102610) is associated with this NPI, valid through July 21, 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 Internal Medicine Practice, P.A. was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Internal Medicine Practice, P.a. · NPI 1336231950
Primary Care organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1336231950 (Entity type: Organization)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Koduah Peprah, DIRECTOR
## Practice location
- **Address:** 324 E ANTIETAM ST STE 306, Hagerstown, MD 21740-5768
- **Phone:** (301) 739-0240 · **Fax:** (301) 797-8546
## Record status
- **NPPES last updated:** February 6, 2012
- **Other identifiers:** Medicaid 336619700 (MD); Medicare UPIN H71860 (MD); Medicare ID-Type Unspecified 135N (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336231950) · Data from the CMS NPPES public registry.