FAMILY MEDICAL WELLNESS CENTER LLC
NPI 1639418783
Clinic/Center - Primary Care in Elkridge, MD
About Family Medical Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL WELLNESS CENTER LLC (NPI 1639418783) is a healthcare organization registered as a primary care in Elkridge, Maryland and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Rubina Alvi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medical Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Medical Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Elkridge, MD 21075
Elkridge, MD 21075
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 21D2058388
Family Medical Wellness Center, LLC · Elkridge, MDFrequently 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 Family Medical Wellness Center LLC's NPI number?
The NPI number for Family Medical Wellness Center LLC is 1639418783. It was assigned to this organization in the NPPES registry on February 9, 2013.
Where is Family Medical Wellness Center LLC located?
Family Medical Wellness Center LLC is located at 6020 Meadowridge Center Dr Ste U, Elkridge, MD 21075. The listed phone number is (410) 443-0490.
What is Family Medical Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Family Medical Wellness Center LLC enrolled in Medicare?
Yes. Family Medical Wellness Center LLC is registered in the Medicare PECOS enrollment system.
When is Family Medical Wellness Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Family Medical Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Medical Wellness Center LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medical Wellness Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2058388) is associated with this NPI, valid through May 6, 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 Family Medical Wellness Center LLC was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Family Medical Wellness Center Llc · NPI 1639418783
Primary Care organization in Elkridge, Maryland. Organization record, active in the CMS NPPES registry since February 9, 2013.
## Identity
- **NPI:** 1639418783 (Entity type: Organization)
- **Enumerated:** February 9, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Rubina Alvi, OWNER
## Practice location
- **Address:** 6020 MEADOWRIDGE CENTER DR STE U, Elkridge, MD 21075-7275
- **Phone:** (410) 443-0490 · **Fax:** (410) 941-4844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639418783) · Data from the CMS NPPES public registry.