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ENVISIONCARE MEDICAL ASSOCIATES, LLC
NPI 1578729331
Clinic/Center in Upper Marlboro, MD

Active since July 31, 2008
10507 MONTANA TER, UPPER MARLBORO, MD 20774(301) 237-7383(301) 322-9555 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Envisioncare Medical Associates, Llc NPPES

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

ENVISIONCARE MEDICAL ASSOCIATES, LLC (NPI 1578729331) is a healthcare organization registered as a clinic/center in Upper Marlboro, Maryland and active in the NPI registry since July 2008. The organization lists Chinwe N Ndubisi, Medical Practitioner, as its authorized official.

NPPES Registry Identity

NPI1578729331
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameENVISIONCARE MEDICAL ASSOCIATES, LLC
Location Address10507 MONTANA TERUpper Marlboro, MD 20774-6034
Mailing Address1400 Mercantile Ln, Suite 124Largo, MD 20774-5341 · (301) 322-9292 · Fax (301) 322-9555
Phone(301) 237-7383
Fax(301) 322-9555
Organization SubpartNo
Authorized OfficialChinwe N NdubisiMedical Practitioner · (301) 237-7383
Enumeration DateJuly 31, 2008
✔ NPI 1578729331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MD · NP117688
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10507 MONTANA TER, Upper Marlboro, MD 20774
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Other Identifiers 1

Other1770745184MD · Npi-cms

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Envisioncare Medical Associates, Llc 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 Envisioncare Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chinwe Ndubisi, APRN, CRNP-F, PH.D
Nurse Practitioner
NPI 1770745184
1400 MERCANTILE LN SUITE 124
Largo, MD 20774
(301) 237-7383
✔ PECOS✔ Accepts Medicare2.9 mi

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 Envisioncare Medical Associates, LLC's NPI number?

The NPI number for Envisioncare Medical Associates, LLC is 1578729331. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Envisioncare Medical Associates, LLC located?

Envisioncare Medical Associates, LLC is located at 10507 Montana Ter, Upper Marlboro, MD 20774. The listed phone number is (301) 237-7383.

What is Envisioncare Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Envisioncare Medical Associates, LLC enrolled in Medicare?

Yes. Envisioncare Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Envisioncare Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Envisioncare Medical Associates, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Envisioncare Medical Associates, LLC was last updated on July 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.