DIVERSITY HEALTH CLINIC, LLC
NPI 1780286732
Nurse Practitioner - Primary Care in Silver Spring, MD
About Diversity Health Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSITY HEALTH CLINIC, LLC (NPI 1780286732) is a healthcare organization registered as a primary care in Silver Spring, Maryland and active in the NPI registry since November 2020. The organization lists Akukeng W. Mba, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Diversity Health Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Diversity Health Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Diversity Health Clinic, LLC's NPI number?
The NPI number for Diversity Health Clinic, LLC is 1780286732. It was assigned to this organization in the NPPES registry on November 13, 2020.
Where is Diversity Health Clinic, LLC located?
Diversity Health Clinic, LLC is located at 15101 Centergate Dr, Silver Spring, MD 20905. The listed phone number is (301) 793-4761.
What is Diversity Health Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Diversity Health Clinic, LLC enrolled in Medicare?
Yes. Diversity Health Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diversity Health Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Diversity Health Clinic, 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Diversity Health Clinic, LLC was last updated on November 13, 2020. 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.
# Diversity Health Clinic, Llc · NPI 1780286732
Primary Care organization in Silver Spring, Maryland. Organization record, active in the CMS NPPES registry since November 13, 2020.
## Identity
- **NPI:** 1780286732 (Entity type: Organization)
- **Enumerated:** November 13, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Also known as:** Diversity Health Clinic, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Akukeng Mba, NURSE PRACTITIONER
## Practice location
- **Address:** 15101 CENTERGATE DR, Silver Spring, MD 20905-5714
- **Phone:** (301) 793-4761 · **Fax:** (800) 519-7417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2020
- **Other identifiers:** Other R185268 (MD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1780286732) · Data from the CMS NPPES public registry.