INTEGRATED MEDICAL CLINIC
NPI 1487289005
Nurse Practitioner - Family in Lanham, MD
About Integrated Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED MEDICAL CLINIC (NPI 1487289005) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since March 2020. The organization lists Paige Smith, Practice Adminstrator, 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)
Integrated Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Integrated Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Integrated Medical Clinic's NPI number?
The NPI number for Integrated Medical Clinic is 1487289005. It was assigned to this organization in the NPPES registry on March 4, 2020.
Where is Integrated Medical Clinic located?
Integrated Medical Clinic is located at 7404 Executive Pl Ste 100, Lanham, MD 20706. The listed phone number is (240) 758-1782.
What is Integrated Medical Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Integrated Medical Clinic enrolled in Medicare?
Yes. Integrated Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Medical Clinic. 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 Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrated Medical Clinic was last updated on December 28, 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.
# Integrated Medical Clinic · NPI 1487289005
Family organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since March 4, 2020.
## Identity
- **NPI:** 1487289005 (Entity type: Organization)
- **Enumerated:** March 4, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Paige Smith, PRACTICE ADMINSTRATOR
## Practice location
- **Address:** 7404 EXECUTIVE PL STE 100, Lanham, MD 20706-6237
- **Phone:** (240) 758-1782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1487289005) · Data from the CMS NPPES public registry.