MD IMMEDIATE CARE LLC
NPI 1770824195
Clinic/Center - Urgent Care in Havre De Grace, MD

Active since March 11, 2013
504 LEWIS ST, HAVRE DE GRACE, MD 21078(443) 502-5311(443) 955-5736 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Md Immediate Care Llc NPPES

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

MD IMMEDIATE CARE LLC (NPI 1770824195) is a healthcare organization registered as an urgent care in Havre De Grace, Maryland and active in the NPI registry since March 2013. The organization lists Rehan Khan, President, as its authorized official.

NPPES Registry Identity

NPI1770824195
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMD IMMEDIATE CARE LLC
Location Address504 LEWIS STHavre De Grace, MD 21078-3420
Mailing Address504 Lewis StHavre De Grace, MD 21078-3420 · (443) 502-5311 · Fax (443) 955-5736
Fax(443) 955-5736
Organization SubpartNo
Authorized OfficialRehan KhanPresident · (443) 243-8894
Enumeration DateMarch 11, 2013
Last NPPES UpdateOctober 3, 2014
✔ NPI 1770824195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
504 LEWIS ST, Havre De Grace, MD 21078

Other Identifiers 1

Medicare PIN292744MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Md Immediate Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to MD Immediate Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1164005104
504 LEWIS ST
Havre De Grace, MD 21078
(443) 502-5311
✔ PECOSSame address
Nurse Practitioner
NPI 1871152371
504 LEWIS ST
Havre De Grace, MD 21078
(443) 502-5311
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1497796619
4 W BROADWAY
Bel Air, MD 21014
(443) 243-8894
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1366094260
6480 OLD WATERLOO RD
Elkridge, MD 21075
(410) 799-0291
✔ PECOS45 mi

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 MD Immediate Care LLC's NPI number?

The NPI number for MD Immediate Care LLC is 1770824195. It was assigned to this organization in the NPPES registry on March 11, 2013.

Where is MD Immediate Care LLC located?

MD Immediate Care LLC is located at 504 Lewis St, Havre De Grace, MD 21078. The listed phone number is (443) 502-5311.

What is MD Immediate Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is MD Immediate Care LLC enrolled in Medicare?

Yes. MD Immediate Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through MD Immediate Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to MD Immediate Care 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 (3) and Physical Medicine and Rehabilitation (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for MD Immediate Care LLC was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.