METRO XTRACARE P.C.
NPI 1477958429
Clinic/Center - Primary Care in Windsor Mill, MD
About Metro Xtracare P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METRO XTRACARE P.C. (NPI 1477958429) is a healthcare organization registered as a primary care in Windsor Mill, Maryland and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Babajide O Runsewe, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metro Xtracare P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Metro Xtracare P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 21D2096991
Metro Xtracare PC · Windsor Mill, MDFrequently 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 Metro Xtracare P.C.'s NPI number?
The NPI number for Metro Xtracare P.C. is 1477958429. It was assigned to this organization in the NPPES registry on October 31, 2014.
Where is Metro Xtracare P.C. located?
Metro Xtracare P.C. is located at 3608 Milford Mill Rd, Windsor Mill, MD 21244. The listed phone number is (443) 272-7858.
What is Metro Xtracare P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Metro Xtracare P.C. enrolled in Medicare?
Yes. Metro Xtracare P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Metro Xtracare P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Metro Xtracare P.C.. 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.
Does Metro Xtracare P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2096991) is associated with this NPI, valid through June 4, 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 Metro Xtracare P.C. was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Metro Xtracare P.c. · NPI 1477958429
Primary Care organization in Windsor Mill, Maryland. Organization record, active in the CMS NPPES registry since October 31, 2014.
## Identity
- **NPI:** 1477958429 (Entity type: Organization)
- **Enumerated:** October 31, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Babajide Runsewe, PRESIDENT
## Practice location
- **Address:** 3608 MILFORD MILL RD, Windsor Mill, MD 21244-3328
- **Phone:** (443) 272-7858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477958429) · Data from the CMS NPPES public registry.