MIDDLETOWN VALLEY FAMILY MEDICINE, P.A.
NPI 1700861259
Specialist in Middletown, MD

Active since December 07, 2005CLIA 21D0220875 · Microscopy
300 S CHURCH ST, MIDDLETOWN, MD 21769(301) 371-9000(301) 371-8905 Get Directions Write a Review

NPPES record last updated: September 17, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Middletown Valley Family Medicine, P.a. NPPES

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

MIDDLETOWN VALLEY FAMILY MEDICINE, P.A. (NPI 1700861259) is a healthcare organization registered as a specialist in Middletown, Maryland and active in the NPI registry since December 2005. The organization holds a CLIA Microscopy certificate valid through September 28, 2027 and lists Heather M Raithel, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1700861259
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMIDDLETOWN VALLEY FAMILY MEDICINE, P.A.
Location Address300 S CHURCH STMiddletown, MD 21769-8043
Mailing Address300 S Church StMiddletown, MD 21769-8043 · (301) 371-9000 · Fax (301) 371-8905
Fax(301) 371-8905
Organization SubpartNo
Authorized OfficialHeather M RaithelPractice Administrator · (301) 371-9000
Enumeration DateDecember 7, 2005
Last NPPES UpdateSeptember 17, 2009
✔ NPI 1700861259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 S CHURCH ST, Middletown, MD 21769

Other Identifiers 5

OtherH569MD · Bcbs Group Number
Medicaid913961300MD
Medicare PINCE3202MD
Medicare ID-Type UnspecifiedH569MD · Medicare Group Number
OtherH931MD · Bcbs Dc Group #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Middletown Valley Family Medicine, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Middletown Valley Family Medicine, P.A., which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1609129980
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1982602462
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912902362
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699723031
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOSSame address
Nurse Practitioner
NPI 1093286601
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1861626376
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477365559
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114445368
300 S CHURCH ST
Middletown, MD 21769
(301) 371-9000
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 21D0220875

Middletown Valley Family Medicine · Middletown, MD
Active · expires Sep 28, 2027
CLIA Number21D0220875
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorDr. Erin Farrish
Laboratory Phone(301) 371-9000
Laboratory LocationMiddletown Valley Family Medicine300 South Church Street, Middletown, MD 21769
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Middletown Valley Family Medicine, P.A.'s NPI number?

The NPI number for Middletown Valley Family Medicine, P.A. is 1700861259. It was assigned to this organization in the NPPES registry on December 7, 2005.

Where is Middletown Valley Family Medicine, P.A. located?

Middletown Valley Family Medicine, P.A. is located at 300 S Church St, Middletown, MD 21769. The listed phone number is (301) 371-9000.

What is Middletown Valley Family Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Middletown Valley Family Medicine, P.A. enrolled in Medicare?

Yes. Middletown Valley Family Medicine, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Middletown Valley Family Medicine, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Middletown Valley Family Medicine, P.A.. 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. The largest specialties are Nurse Practitioner (4), Family Practice (2) and Internal Medicine (2). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Middletown Valley Family Medicine, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0220875) is associated with this NPI, valid through September 28, 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 Middletown Valley Family Medicine, P.A. was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.