GREAT HEALTH MEDICAL GROUP MD PC
NPI 1407662901
Clinic/Center - Primary Care in Lutherville, MD
About Great Health Medical Group Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT HEALTH MEDICAL GROUP MD PC (NPI 1407662901) is a healthcare organization registered as a primary care in Lutherville, Maryland and active in the NPI registry since December 2024. The organization lists Azlan Tariq, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Health Medical Group Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Great Health Medical Group MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 Great Health Medical Group MD PC's NPI number?
The NPI number for Great Health Medical Group MD PC is 1407662901. It was assigned to this organization in the NPPES registry on December 9, 2024.
Where is Great Health Medical Group MD PC located?
Great Health Medical Group MD PC is located at 515 Brightfield Rd, Lutherville, MD 21093. The listed phone number is (718) 470-0288.
What is Great Health Medical Group MD PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Great Health Medical Group MD PC enrolled in Medicare?
Yes. Great Health Medical Group MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Health Medical Group MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Health Medical Group MD PC. 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. The largest specialties are Nurse Practitioner (10) and Physical Medicine and Rehabilitation (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Health Medical Group MD PC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Great Health Medical Group Md Pc · NPI 1407662901
Primary Care organization in Lutherville, Maryland. Organization record, active in the CMS NPPES registry since December 9, 2024.
## Identity
- **NPI:** 1407662901 (Entity type: Organization)
- **Enumerated:** December 9, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Azlan Tariq, OWNER
## Practice location
- **Address:** 515 BRIGHTFIELD RD, Lutherville, MD 21093-3643
- **Phone:** (718) 470-0288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Physical Medicine and Rehabilitation (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407662901) · Data from the CMS NPPES public registry.