BETHESDA MEDICAL ASSOCIATES
NPI 1447560016
Internal Medicine in Bethesda, MD

Active since October 18, 2010CLIA 21D2017746 · Waiver
10215 FERNWOOD RD STE 50, BETHESDA, MD 20817(301) 493-9320(301) 439-5532 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bethesda Medical Associates NPPES

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

BETHESDA MEDICAL ASSOCIATES (NPI 1447560016) is a healthcare organization registered as an internal medicine in Bethesda, Maryland and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Amber Blackwell, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1447560016
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHESDA MEDICAL ASSOCIATES
Location Address10215 FERNWOOD RD STE 50Bethesda, MD 20817-1174
Mailing Address10215 Fernwood Road Suite 100aBethesda, MD 20817 · (301) 493-9607 · Fax (301) 439-5532
Fax(301) 439-5532
Organization SubpartNo
Authorized OfficialAmber BlackwellPractice Administrator · (301) 493-9320
Enumeration DateOctober 18, 2010
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1447560016 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.
10215 FERNWOOD RD STE 50, Bethesda, MD 20817

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)

Bethesda Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Bethesda Medical Associates, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Family Practice
NPI 1518953702
10215 FERNWOOD RD STE 50
Bethesda, MD 20817
(301) 493-9607
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215037486
10215 FERNWOOD RD STE 50
Bethesda, MD 20817
(301) 493-9320
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1528032976
10215 FERNWOOD RD STE 100
Bethesda, MD 20817
(301) 493-4440
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1326383019
10215 FERNWOOD RD STE 50
Bethesda, MD 20817
(301) 547-0569
✔ Accepts MedicareSame address
Internal Medicine
NPI 1548259997
10215 FERNWOOD RD STE 100
Bethesda, MD 20817
(301) 493-4440
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1578537429
10215 FERNWOOD ROAD SUITE 100
Bethesda, MD 20817
(301) 493-4440
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1427047877
10215 FERNWOOD ROAD SUITE 100
Bethesda, MD 20817
(301) 493-4440
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780672626
10215 FERNWOOD ROAD SUITE 100
Bethesda, MD 20817
(301) 493-4440
✔ PECOSSame address

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 21D2017746

Bethesda Medical Associates PC · Bethesda, MD
Active · expires Dec 16, 2026
CLIA Number21D2017746
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorDr. Lee R. Pennington
Laboratory Phone(301) 493-8838
Laboratory LocationBethesda Medical Associates PC10215 Fernwood Road Suite 50, Bethesda, MD 20817
CLIA data matches this NPI record on: Address Name
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 Bethesda Medical Associates's NPI number?

The NPI number for Bethesda Medical Associates is 1447560016. It was assigned to this organization in the NPPES registry on October 18, 2010.

Where is Bethesda Medical Associates located?

Bethesda Medical Associates is located at 10215 Fernwood Rd Ste 50, Bethesda, MD 20817. The listed phone number is (301) 493-9320.

What is Bethesda Medical Associates's specialty?

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

Is Bethesda Medical Associates enrolled in Medicare?

Yes. Bethesda Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethesda Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Bethesda Medical Associates. 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 Internal Medicine (6), Family Practice (1) and Registered Dietitian or Nutrition Professional (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bethesda Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2017746) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethesda Medical Associates was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.