PREVENTIVE CARE NETWORK SERVICES PC
NPI 1407913296
Internal Medicine in Clinton, MD

Active since January 02, 2007
9001 WOODYARD RD STE C, CLINTON, MD 20735(301) 868-7333(301) 868-9023 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Preventive Care Network Services Pc NPPES

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

PREVENTIVE CARE NETWORK SERVICES PC (NPI 1407913296) is a healthcare organization registered as an internal medicine in Clinton, Maryland and active in the NPI registry since January 2007. The organization lists Denise Herry, Medical Coder/biller, as its authorized official.

NPPES Registry Identity

NPI1407913296
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREVENTIVE CARE NETWORK SERVICES PC
Location Address9001 WOODYARD RD STE CClinton, MD 20735
Mailing Address9001 Woodyard Rd Ste CClinton, MD 20735-4264 · (301) 868-7333 · Fax (301) 868-9023
Fax(301) 868-9023
Organization SubpartNo
Authorized OfficialDenise HerryMedical Coder/biller · (301) 868-7333
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1407913296 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.
9001 WOODYARD RD STE C, Clinton, MD 20735

Other Identifiers 1

Medicaid183731100MD

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preventive Care Network Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Preventive Care Network Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1073642625
9001 WOODYARD RD STE C
Clinton, MD 20735
(301) 868-7333
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104960616
3806 BASKERVILLE DR
Mitchellville, MD 20721
(301) 464-8628
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1174140990
11511 SUTHERLAND HILL WAY
Silver Spring, MD 20904
(301) 529-7580
✔ PECOS20 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 of Waiver 21D1013981

Preventive Care Network Services PC · Clinton, MD
Expired · Sep 27, 2026
CLIA Number21D1013981
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorVictor E. Herry MD
Laboratory Phone(301) 868-7333
Laboratory LocationPreventive Care Network Services PC9001 Woodyard Road, Suite C, Clinton, MD 20735
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Preventive Care Network Services PC's NPI number?

The NPI number for Preventive Care Network Services PC is 1407913296. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Preventive Care Network Services PC located?

Preventive Care Network Services PC is located at 9001 Woodyard Rd Ste C, Clinton, MD 20735. The listed phone number is (301) 868-7333.

What is Preventive Care Network Services PC's specialty?

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

Is Preventive Care Network Services PC enrolled in Medicare?

Yes. Preventive Care Network Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Preventive Care Network Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Preventive Care Network Services PC, in Internal Medicine and Nurse Practitioner. 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 Preventive Care Network Services PC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.