ENDEAVOUR HEALTHCARE LLC
NPI 1710868013
Internal Medicine in Rising Sun, MD

Active since September 11, 2025
1881 TELEGRAPH RD, RISING SUN, MD 21911(443) 275-9164 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Endeavour Healthcare Llc NPPES

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

ENDEAVOUR HEALTHCARE LLC (NPI 1710868013) is a healthcare organization registered as an internal medicine in Rising Sun, Maryland and active in the NPI registry since September 2025. The organization lists Dev Basu, Owner, as its authorized official.

NPPES Registry Identity

NPI1710868013
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameENDEAVOUR HEALTHCARE LLC
Location Address1881 TELEGRAPH RDRising Sun, MD 21911-2018
Mailing Address913 Southerly Rd Apt 264Towson, MD 21204-2629
Organization SubpartNo
Authorized OfficialDev BasuOwner · (413) 794-8490
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1710868013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)

Endeavour Healthcare Llc 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 Endeavour Healthcare LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1356800981
115 E MELROSE AVE
Baltimore, MD 21212
(443) 787-6126
✔ PECOS✔ Accepts Medicare
Internal Medicine
NPI 1821386228
913 SOUTHERLY ROAD #264
Towson, MD 21204
(410) 275-9164
✔ PECOS✔ Accepts Medicare
Internal Medicine
NPI 1629353420
904 STAGS HEAD RD
Towson, MD 21286
(410) 668-8180
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1265279376
827 LINDEN AVE
Baltimore, MD 21201
(410) 225-8150
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1679210355
1001 PINE HEIGHTS AVE STE 304
Baltimore, MD 21229
(410) 878-2530
✔ PECOS
Nurse Practitioner
NPI 1881574820
1226 ROSSMOOR PKWY
Walnut Creek, CA 94595
(801) 215-9309
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1760703185
19 WALKER AVE STE 201
Pikesville, MD 21208
(443) 275-4095
✔ PECOS✔ Accepts Medicare
Nurse Practitioner
NPI 1982965950
5275 LOUGHBORO RD NW
Washington, DC 20016
(202) 243-5170
✔ PECOS✔ Accepts Medicare

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 Endeavour Healthcare LLC's NPI number?

The NPI number for Endeavour Healthcare LLC is 1710868013. It was assigned to this organization in the NPPES registry on September 11, 2025.

Where is Endeavour Healthcare LLC located?

Endeavour Healthcare LLC is located at 1881 Telegraph Rd, Rising Sun, MD 21911. The listed phone number is (443) 275-9164.

What is Endeavour Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Endeavour Healthcare LLC enrolled in Medicare?

Yes. Endeavour Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endeavour Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Endeavour Healthcare 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. The largest specialties are Nurse Practitioner (6) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Endeavour Healthcare LLC was last updated on September 11, 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.