HEALING VESSEL MEDICAL ASSOCIATES LLC
NPI 1770085029
Family Medicine in Bowie, MD
About Healing Vessel Medical Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALING VESSEL MEDICAL ASSOCIATES LLC (NPI 1770085029) is a healthcare organization registered as a family medicine in Bowie, Maryland and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Evelyn Omoregbee, Managing Director, 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)
Healing Vessel Medical Associates Llc 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 Healing Vessel Medical Associates LLC, 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.
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 of Waiver 21D2146180
Healing Vessel Medical Associates, LLC · Bowie, MDFrequently 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 Healing Vessel Medical Associates LLC's NPI number?
The NPI number for Healing Vessel Medical Associates LLC is 1770085029. It was assigned to this organization in the NPPES registry on March 2, 2018.
Where is Healing Vessel Medical Associates LLC located?
Healing Vessel Medical Associates LLC is located at 14903 Dennington Dr, Bowie, MD 20721. The listed phone number is (301) 335-3941.
What is Healing Vessel Medical Associates LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Healing Vessel Medical Associates LLC enrolled in Medicare?
Yes. Healing Vessel Medical Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healing Vessel Medical Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healing Vessel Medical Associates 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Healing Vessel Medical Associates LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2146180) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Healing Vessel Medical Associates LLC was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Healing Vessel Medical Associates Llc · NPI 1770085029
Family Medicine organization in Bowie, Maryland. Organization record, active in the CMS NPPES registry since March 2, 2018.
## Identity
- **NPI:** 1770085029 (Entity type: Organization)
- **Enumerated:** March 2, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Evelyn Omoregbee, MANAGING DIRECTOR
## Practice location
- **Address:** 14903 DENNINGTON DR, Bowie, MD 20721-3277
- **Phone:** (301) 335-3941
## 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:** May 7, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770085029) · Data from the CMS NPPES public registry.