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CLOSEKNIT
NPI 1548839012
Family Medicine in Baltimore, MD

Active since June 21, 2021CLIA 21D2250108 · Waiver
1501 S CLINTON ST, BALTIMORE, MD 21224(410) 528-7109 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Sep 9, 2023, Dec 7, 2022 and 1 more (4 updates tracked since 2021).

About Closeknit NPPES

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

CLOSEKNIT (NPI 1548839012) is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Mary Jane Favazza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548839012
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATLAS HEALTH, LLC
Location Address1501 S CLINTON STBaltimore, MD 21224-5730
Mailing Address1501 S Clinton StBaltimore, MD 21224-5730
Phone(410) 528-7109
Organization SubpartNo
Authorized OfficialMary Jane FavazzaCeo · (410) 528-7109
Enumeration DateJune 21, 2021
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1548839012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1501 S CLINTON ST, Baltimore, MD 21224
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Other Names 1

Doing Business AsCloseknit

Other Identifiers 1

OtherTBDTbd

Group Practice 2

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

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Closeknit, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Elizabeth Crowley, MD
Family Practice
NPI 1255374310
1501 S CLINTON ST
Baltimore, MD 21224
(866) 233-6925
✔ PECOSSame address
Lisa Lacarrubba, M.D.
Family Practice
NPI 1962589432
1501 S CLINTON ST
Baltimore, MD 21224
(866) 233-6925
✔ PECOS✔ Accepts MedicareSame address
Taiwo Oluyemo
Nurse Practitioner
NPI 1245502889
2720 ORCHARD ORIOLE WAY
Odenton, MD 21113
(301) 326-5867
✔ PECOS✔ Accepts Medicare19 mi
Kristie Quarles Washington, MSN, FNP-C
Nurse Practitioner
NPI 1184939050
1101 K ST NW FL 10
Washington, DC 20005
(866) 233-6925
✔ PECOS✔ Accepts Medicare36 mi
Carissa Kelly, CNP
Nurse Practitioner
NPI 1821307646
45 DAN RD
Canton, MA 02021
(914) 525-8692
✔ PECOS✔ Accepts Medicare349 mi

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 21D2250108

Capital Healthcare Mso Inc Dba Closeknit Boston St · Baltimore, MD
Active · expires Jan 24, 2028
CLIA Number21D2250108
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMindi Cohen
Laboratory Phone(304) 312-3281
Laboratory LocationCapital Healthcare Mso Inc Dba Closeknit Boston St2500 Boston Street, Suite 103 R, Baltimore, MD 21224
CLIA data matches this NPI record on: 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 Atlas Health, LLC's NPI number?

The NPI number for Atlas Health, LLC is 1548839012. It was assigned to this organization in the NPPES registry on June 21, 2021. The provider is doing business as Closeknit.

Where is Atlas Health, LLC located?

Atlas Health, LLC is located at 1501 S Clinton St, Baltimore, MD 21224. The listed phone number is (410) 528-7109.

What is Atlas Health, LLC's specialty?

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

Is Atlas Health, LLC enrolled in Medicare?

Yes. Atlas Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlas Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlas Health, LLC. 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 Family Practice (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Atlas Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2250108) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlas Health, LLC was last updated on August 8, 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.