EMMITSBURG OSTEOPATHIC PRIMARY CARE CENTER, INC.
NPI 1417082900
Internal Medicine in Emmitsburg, MD

Active since February 23, 2007CLIA 21D0965829 · Waiver
121 W. MAIN STREET, REAR, EMMITSBURG, MD 21727(301) 447-3310(301) 447-5851 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Emmitsburg Osteopathic Primary Care Center, Inc. NPPES

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

EMMITSBURG OSTEOPATHIC PRIMARY CARE CENTER, INC. (NPI 1417082900) is a healthcare organization registered as an internal medicine in Emmitsburg, Maryland and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Bonita Jane Krempel-portier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417082900
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEMMITSBURG OSTEOPATHIC PRIMARY CARE CENTER, INC.
Location Address121 W. MAIN STREET, REAREmmitsburg, MD 21727-1219
Mailing AddressPo Box 1219, 121-123 W. Main Street, RearEmmitsburg, MD 21727-1219 · (301) 447-3310 · Fax (301) 447-5851
Fax(301) 447-5851
Organization SubpartNo
Authorized OfficialBonita Jane Krempel-portierCeo · (301) 447-3310
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMarch 17, 2009
✔ NPI 1417082900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · H0044037
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.
121 W. MAIN STREET, REAR, Emmitsburg, MD 21727

Other Identifiers 3

Medicare UPINF89002MD
Medicaid331811700MD
Medicaid16021650008PA

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)

Emmitsburg Osteopathic Primary Care Center, Inc. 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 Emmitsburg Osteopathic Primary Care Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1609864453
121 W. MAIN STREET
Emmitsburg, MD 21727
(301) 447-3310
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1629017967
150 SOUTHPARK BLVD #102
St Augustine, FL 32086
(904) 823-3764
✔ PECOS715 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 21D0965829

Emmitsburg Osteopathic Primary Cr Ctr · Emmitsburg, MD
Active · expires Sep 28, 2027
CLIA Number21D0965829
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorBonita J. Krempel Portier Do
Laboratory Phone(301) 447-3310
Laboratory LocationEmmitsburg Osteopathic Primary Cr Ctr121 W Main Street Rear, Emmitsburg, MD 21727
CLIA data matches this NPI record on: Address 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 Emmitsburg Osteopathic Primary Care Center, Inc.'s NPI number?

The NPI number for Emmitsburg Osteopathic Primary Care Center, Inc. is 1417082900. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Emmitsburg Osteopathic Primary Care Center, Inc. located?

Emmitsburg Osteopathic Primary Care Center, Inc. is located at 121 W. Main Street, Rear, Emmitsburg, MD 21727. The listed phone number is (301) 447-3310.

What is Emmitsburg Osteopathic Primary Care Center, Inc.'s specialty?

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

Is Emmitsburg Osteopathic Primary Care Center, Inc. enrolled in Medicare?

Yes. Emmitsburg Osteopathic Primary Care Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emmitsburg Osteopathic Primary Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Emmitsburg Osteopathic Primary Care Center, Inc., in Internal Medicine and Orthopedic Surgery. 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.

Does Emmitsburg Osteopathic Primary Care Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0965829) is associated with this NPI, valid through September 28, 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 Emmitsburg Osteopathic Primary Care Center, Inc. was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.