GENNESARET MEDICAL CENTER, LLC
NPI 1588962245
Clinic/Center - Primary Care in Laurel, MD
About Gennesaret Medical Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENNESARET MEDICAL CENTER, LLC (NPI 1588962245) is a healthcare organization registered as a primary care in Laurel, Maryland and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Baltimore and lists Toyin Opesanmi, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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)
Gennesaret Medical Center, 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 Gennesaret Medical Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Gennesaret Medical Center, LLC's NPI number?
The NPI number for Gennesaret Medical Center, LLC is 1588962245. It was assigned to this organization in the NPPES registry on March 4, 2011.
Where is Gennesaret Medical Center, LLC located?
Gennesaret Medical Center, LLC is located at 13992 Baltimore Ave Ste 200, Laurel, MD 20707. The listed phone number is (410) 528-6003.
What is Gennesaret Medical Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Gennesaret Medical Center, LLC enrolled in Medicare?
Yes. Gennesaret Medical Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gennesaret Medical Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gennesaret Medical Center, 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 Gennesaret Medical Center, LLC was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Gennesaret Medical Center, Llc · NPI 1588962245
Primary Care organization in Laurel, Maryland. Organization record, active in the CMS NPPES registry since March 4, 2011.
## Identity
- **NPI:** 1588962245 (Entity type: Organization)
- **Enumerated:** March 4, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Toyin Opesanmi, PHYSICIAN
## Practice location
- **Address:** 13992 BALTIMORE AVE STE 200, Laurel, MD 20707-5010
- **Phone:** (410) 528-6003 · **Fax:** (410) 528-6004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2019
- **Other identifiers:** Medicaid 000911300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1588962245) · Data from the CMS NPPES public registry.