GOLDSTAR FAMILY PRACTICE
NPI 1639961899
Family Medicine in Lanham, MD
About Goldstar Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOLDSTAR FAMILY PRACTICE (NPI 1639961899) is a healthcare organization registered as a family medicine in Lanham, Maryland and active in the NPI registry since May 2025. The organization lists Anna Ngwisah Bolima, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Goldstar Family Practice 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 Goldstar Family Practice, 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 Goldstar Family Practice's NPI number?
The NPI number for Goldstar Family Practice is 1639961899. It was assigned to this organization in the NPPES registry on May 21, 2025.
Where is Goldstar Family Practice located?
Goldstar Family Practice is located at 7404 Executive Pl Ste 100, Lanham, MD 20706. The listed phone number is (301) 792-3797.
What is Goldstar Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Goldstar Family Practice enrolled in Medicare?
Yes. Goldstar Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Goldstar Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Goldstar Family Practice. 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 Goldstar Family Practice was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Goldstar Family Practice · NPI 1639961899
Family Medicine organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since May 21, 2025.
## Identity
- **NPI:** 1639961899 (Entity type: Organization)
- **Enumerated:** May 21, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Anna Bolima, OWNER
## Practice location
- **Address:** 7404 EXECUTIVE PL STE 100, Lanham, MD 20706-6237
- **Phone:** (301) 792-3797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639961899) · Data from the CMS NPPES public registry.