REHOBOTH MEDICAL CENTER LLC
NPI 1356980270
Nurse Practitioner - Primary Care in Silver Spring, MD

Active since December 23, 2019
11223 LOCKWOOD DR, SILVER SPRING, MD 20901(240) 254-3375(410) 844-6442 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Aug 4, 2021, Dec 23, 2019 (3 updates tracked since 2019).

About Rehoboth Medical Center Llc NPPES

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

REHOBOTH MEDICAL CENTER LLC (NPI 1356980270) is a healthcare organization registered as a primary care in Silver Spring, Maryland and active in the NPI registry since December 2019. The organization lists Kathryn Maduforo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356980270
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameREHOBOTH MEDICAL CENTER LLC
Location Address11223 LOCKWOOD DRSilver Spring, MD 20901-4554
Mailing Address11223 Lockwood DrSilver Spring, MD 20901-4554 · (240) 254-3375 · Fax (410) 844-6442
Fax(410) 844-6442
Organization SubpartNo
Authorized OfficialKathryn MaduforoCeo · (240) 254-3375
Enumeration DateDecember 23, 2019
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1356980270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
11223 LOCKWOOD DR, Silver Spring, MD 20901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rehoboth 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 Rehoboth Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1750946729
11223 LOCKWOOD DR
Silver Spring, MD 20901
(240) 254-3375
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376310029
1214 GOLDMINE CT
Hyattsville, MD 20785
(240) 643-7073
✔ PECOS✔ Accepts Medicare11 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 Rehoboth Medical Center LLC's NPI number?

The NPI number for Rehoboth Medical Center LLC is 1356980270. It was assigned to this organization in the NPPES registry on December 23, 2019.

Where is Rehoboth Medical Center LLC located?

Rehoboth Medical Center LLC is located at 11223 Lockwood Dr, Silver Spring, MD 20901. The listed phone number is (240) 254-3375.

What is Rehoboth Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Rehoboth Medical Center LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Rehoboth Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Rehoboth Medical Center 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rehoboth Medical Center LLC was last updated on June 5, 2024. 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.