OLD GREENBELT FAMILY HEALTH
NPI 1760157713
Nurse Practitioner - Family in Greenbelt, MD
About Old Greenbelt Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD GREENBELT FAMILY HEALTH (NPI 1760157713) is a healthcare organization registered as a family in Greenbelt, Maryland and active in the NPI registry since August 2021. The organization lists Salma Khan, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Old Greenbelt Family Health 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 Old Greenbelt Family Health, 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 Old Greenbelt Family Health's NPI number?
The NPI number for Old Greenbelt Family Health is 1760157713. It was assigned to this organization in the NPPES registry on August 11, 2021.
Where is Old Greenbelt Family Health located?
Old Greenbelt Family Health is located at 115 Centerway Ste 104, Greenbelt, MD 20770. The listed phone number is (866) 282-5040.
What is Old Greenbelt Family Health's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Old Greenbelt Family Health enrolled in Medicare?
Yes. Old Greenbelt Family Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Greenbelt Family Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Old Greenbelt Family Health. 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 Old Greenbelt Family Health was last updated on August 11, 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.
# Old Greenbelt Family Health · NPI 1760157713
Family organization in Greenbelt, Maryland. Organization record, active in the CMS NPPES registry since August 11, 2021.
## Identity
- **NPI:** 1760157713 (Entity type: Organization)
- **Enumerated:** August 11, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Salma Khan, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 115 CENTERWAY STE 104, Greenbelt, MD 20770-1836
- **Phone:** (866) 282-5040 · **Fax:** (609) 482-8118
## 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:** August 11, 2021
- **Other identifiers:** Other R235180 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1760157713) · Data from the CMS NPPES public registry.