MARYLAND PRIMARY CARE CLINIC LLC
NPI 1417717539
Family Medicine in Baltimore, MD
About Maryland Primary Care Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYLAND PRIMARY CARE CLINIC LLC (NPI 1417717539) is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since March 2024. The organization lists Lata Pradhan, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryland Primary Care Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Maryland Primary Care Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Maryland Primary Care Clinic LLC's NPI number?
The NPI number for Maryland Primary Care Clinic LLC is 1417717539. It was assigned to this organization in the NPPES registry on March 19, 2024.
Where is Maryland Primary Care Clinic LLC located?
Maryland Primary Care Clinic LLC is located at 8114 Sandpiper Cir Ste 202, Baltimore, MD 21236. The listed phone number is (352) 745-4398.
What is Maryland Primary Care Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Maryland Primary Care Clinic LLC enrolled in Medicare?
Yes. Maryland Primary Care Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maryland Primary Care Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Maryland Primary Care Clinic LLC, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Maryland Primary Care Clinic LLC was last updated on March 19, 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.
# Maryland Primary Care Clinic Llc · NPI 1417717539
Family Medicine organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1417717539 (Entity type: Organization)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lata Pradhan, NP
## Practice location
- **Address:** 8114 SANDPIPER CIR STE 202, Baltimore, MD 21236-5902
- **Phone:** (352) 745-4398
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417717539) · Data from the CMS NPPES public registry.