UPPER CHESAPEAKE PRIMARY CARE,LLC
NPI 1386490613
Internal Medicine in Forest Hill, MD

Active since April 26, 2024CLIA 21D1037256 · Waiver
2 COLGATE DR STE 103, FOREST HILL, MD 21050(410) 420-0161 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Upper Chesapeake Primary Care,llc NPPES

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

UPPER CHESAPEAKE PRIMARY CARE,LLC (NPI 1386490613) is a healthcare organization registered as an internal medicine in Forest Hill, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Marcus Thomas Augustus Priolo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1386490613
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameUPPER CHESAPEAKE PRIMARY CARE,LLC
Location Address2 COLGATE DR STE 103Forest Hill, MD 21050-2623
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Organization SubpartNo
Authorized OfficialMarcus Thomas Augustus PrioloCfo · (443) 643-3344
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1386490613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2 COLGATE DR STE 103, Forest Hill, MD 21050

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

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 21D1037256

Upper Chesapeake Primary Care Forest Hill · Forest Hill, MD
Active · expires Feb 17, 2027
CLIA Number21D1037256
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorAly Naguib
Laboratory Phone(410) 420-0161
Laboratory LocationUpper Chesapeake Primary Care Forest Hill2 Colgate Drive Ste 103, Forest Hill, MD 21050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
2 COLGATE DR STE 103
FOREST HILL, MD 21050

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 Upper Chesapeake Primary Care,llc's NPI number?

The NPI number for Upper Chesapeake Primary Care,llc is 1386490613. It was assigned to this organization in the NPPES registry on April 26, 2024.

Where is Upper Chesapeake Primary Care,llc located?

Upper Chesapeake Primary Care,llc is located at 2 Colgate Dr Ste 103, Forest Hill, MD 21050. The listed phone number is (410) 420-0161.

What is Upper Chesapeake Primary Care,llc's specialty?

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

Does Upper Chesapeake Primary Care,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1037256) is associated with this NPI, valid through February 17, 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 Upper Chesapeake Primary Care,llc was last updated on April 26, 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.