MONTGOMERY WELLNESS HUB LLC
NPI 1679236954
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Gaithersburg, MD
About Montgomery Wellness Hub Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONTGOMERY WELLNESS HUB LLC (NPI 1679236954) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Gaithersburg, Maryland and active in the NPI registry since October 2021. The organization lists Mohammed Kolawole Ibrahim, Ceo, 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)
Montgomery Wellness Hub Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Montgomery Wellness Hub LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Montgomery Wellness Hub LLC's NPI number?
The NPI number for Montgomery Wellness Hub LLC is 1679236954. It was assigned to this organization in the NPPES registry on October 14, 2021.
Where is Montgomery Wellness Hub LLC located?
Montgomery Wellness Hub LLC is located at 951 Russell Ave Ste D, Gaithersburg, MD 20879. The listed phone number is (301) 404-7336.
What is Montgomery Wellness Hub LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.
Is Montgomery Wellness Hub LLC enrolled in Medicare?
Yes. Montgomery Wellness Hub LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Montgomery Wellness Hub LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Montgomery Wellness Hub LLC, in Clinical Social Worker, Mental Health Counselor 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Montgomery Wellness Hub LLC was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Montgomery Wellness Hub Llc · NPI 1679236954
Behavioral Neurology & Neuropsychiatry organization in Gaithersburg, Maryland. Organization record, active in the CMS NPPES registry since October 14, 2021.
## Identity
- **NPI:** 1679236954 (Entity type: Organization)
- **Enumerated:** October 14, 2021
- **Primary specialty:** Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry · taxonomy 2084B0040X
- **Organization subpart:** No
- **Authorized official:** Mohammed Ibrahim, CEO
## Practice location
- **Address:** 951 RUSSELL AVE STE D, Gaithersburg, MD 20879-3283
- **Phone:** (301) 404-7336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1), Mental Health Counselor (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1679236954) · Data from the CMS NPPES public registry.