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MIRA MACE MEDICAL GROUP PA
NPI 1487532289
Family Medicine in North Bethesda, MD

Active since August 21, 2025
11810 GRAND PARK AVE STE 500, NORTH BETHESDA, MD 20852(332) 296-0021 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Mira Mace Medical Group Pa NPPES

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

MIRA MACE MEDICAL GROUP PA (NPI 1487532289) is a healthcare organization registered as a family medicine in North Bethesda, Maryland and active in the NPI registry since August 2025. The organization lists Prashant Kumar, Operations Administrator, as its authorized official.

NPPES Registry Identity

NPI1487532289
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIRA MACE MEDICAL GROUP PA
Location Address11810 GRAND PARK AVE STE 500North Bethesda, MD 20852-8679
Mailing Address1111b S Governors Ave Ste 39475Dover, DE 19904-6903
Phone(332) 296-0021
Organization SubpartNo
Authorized OfficialPrashant KumarOperations Administrator · (332) 296-0021
Enumeration DateAugust 21, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1487532289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11810 GRAND PARK AVE STE 500, North Bethesda, MD 20852
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHS HOSPITAL ROSEBUD PHARMACY
Nurse Practitioner (Acute Care)
11810 GRAND PARK AVE STE 500
ROCKVILLE, MD 20852
Montgomery County (240) 856-1393
CONGRUENT COUNSELING SERVICES LLC
Counselor (Professional)
11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD 20852
Montgomery County (410) 740-8066
ANCHOR POINT PROFESSIONAL COUNSELING
Counselor (Professional)
11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD 20852
Montgomery County (301) 633-8516
EZAR PSYCHOLOGY, LLC
Clinic/Center (Adult Mental Health)
11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD 20852
Montgomery County (301) 276-5468
MEKDES PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
11810 GRAND PARK AVE STE 500
ROCKVILLE, MD 20852
Montgomery County (240) 473-3448
CONGRUENT COUNSELING SERVICES LLC
Clinic/Center (Community Health)
11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD 20852
Montgomery County (410) 740-8066
MICIT ENTERPRISES, INC
In Home Supportive Care
11810 GRAND PARK AVE STE 500
ROCKVILLE, MD 20852
Montgomery County (301) 701-3511
TIDES AND LIGHT MENTAL WELLNESS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD 20852
Montgomery County (301) 284-0488

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 Mira Mace Medical Group PA's NPI number?

The NPI number for Mira Mace Medical Group PA is 1487532289. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Mira Mace Medical Group PA located?

Mira Mace Medical Group PA is located at 11810 Grand Park Ave Ste 500, North Bethesda, MD 20852. The listed phone number is (332) 296-0021.

What is Mira Mace Medical Group PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mira Mace Medical Group PA was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.