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PRIME HEALTHCARE,LLC
NPI 1578743704
Internal Medicine in Bowie, MD

Active since November 05, 2007CLIA 21D1019520 · Waiver
3233 SUPERIOR LN, B21, BOWIE, MD 20715(301) 805-2500(301) 805-0114 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Healthcare,llc NPPES

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

PRIME HEALTHCARE,LLC (NPI 1578743704) is a healthcare organization registered as an internal medicine in Bowie, Maryland and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Bai Kanu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578743704
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME HEALTHCARE,LLC
Location Address3233 SUPERIOR LN, B21Bowie, MD 20715-1920
Mailing Address3233 Superior Ln, B21Bowie, MD 20715-1920 · (301) 805-2500 · Fax (301) 805-0114
Phone(301) 805-2500
Fax(301) 805-0114
Organization SubpartNo
Authorized OfficialBai KanuCeo · (301) 805-2500
Enumeration DateNovember 5, 2007
Last NPPES UpdateDecember 10, 2007
✔ NPI 1578743704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0058580
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3233 SUPERIOR LN, Bowie, MD 20715
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Other Identifiers 2

Medicare PIN106NMD
Medicare PING01360MD

Group Practice 1

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

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 21D1019520

Prime Healthcare LLC · Bowie, MD
Active · expires Nov 19, 2027
CLIA Number21D1019520
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorBai Kanu
Laboratory Phone(301) 805-2500
Laboratory LocationPrime Healthcare LLC3233 Superior Lane Ste B21, Bowie, MD 20715
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

BAI KANU M.D.
Internal Medicine
3233 SUPERIOR LN, B 21
BOWIE, MD 20715
Prince George's County (301) 805-2500
CHO, FORMICA, LOVE & ASSOCIATES, P.A.
Dentist (General Practice)
3233 SUPERIOR LN
BOWIE, MD 20715
Prince George's County (301) 262-3535
DR. LEO F MENENDEZ DDS
Dentist (Oral and Maxillofacial Surgery)
3233 SUPERIOR LN, SUITE B-23
BOWIE, MD 20715
Prince George's County (301) 262-4500
DR. GWYNETH WAGNER NEWCOMB AU.D.
Audiologist-Hearing Aid Fitter
3233 SUPERIOR LN, SUITE B-2
BOWIE, MD 20715
Prince George's County (301) 464-6701
BOWIE HEARING CENTER
Audiologist-Hearing Aid Fitter
3233 SUPERIOR LN, SUITE B-2
BOWIE, MD 20715
Prince George's County (301) 464-6701

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 Prime Healthcare,llc's NPI number?

The NPI number for Prime Healthcare,llc is 1578743704. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Prime Healthcare,llc located?

Prime Healthcare,llc is located at 3233 Superior Ln B21, Bowie, MD 20715. The listed phone number is (301) 805-2500.

What is Prime Healthcare,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Prime Healthcare,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1019520) is associated with this NPI, valid through November 19, 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 Prime Healthcare,llc was last updated on December 10, 2007. 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.