IMMACULATE MEDICAL SERVICES LLC
NPI 1821301904
Clinic/Center - Primary Care in Washington, DC
NPI Status: Active since July 19, 2010
Contact Information
106 IRVING ST NW
SUITE 308 SOUTH
WASHINGTON, DC
ZIP 20010
Phone: (202) 877-0400
Fax: (202) 877-0584
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 09D2033464
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2027
About IMMACULATE MEDICAL SERVICES LLC
This page provides the complete NPI Profile along with additional information for Immaculate Medical Services Llc, a primary care provider established in Washington, District Of Columbia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1821301904 assigned on July 2010. The practitioner's primary taxonomy code is 261QP2300X with license number MD22148 (DC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Ann Marie Gordon Md (Ceo)
- NPI
- 1821301904
- Provider Name
- IMMACULATE MEDICAL SERVICES LLC
- Entity Type
- Organization
- Location Address
- 106 IRVING ST NW SUITE 308 SOUTH WASHINGTON, DC 20010
- Location Phone
- (202) 877-0400
- Location Fax
- (202) 877-0584
- Mailing Address
- 2016 GATEWOOD PL SILVER SPRING, MD 20903
- Mailing Phone
- (301) 257-5033
- Mailing Fax
- (202) 877-0584
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2010
- Last Update Date
- 02-15-2011
- Code Navigator
A primary care provider (PCP) like Immaculate Medical Services Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD22148
- License State
- DC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | MD22148 (DC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 491173 | MEDICARE PIN (08) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 09D2033464
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2025
- Certificate Expiration Date
- December 01, 2027
- Laboratory Director
- DR. ANN MARIE GORDON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Immaculate Medical Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821301904, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821301904, enumerated as an "organization" on July 19, 2010.
The provider is located at 106 IRVING ST NW SUITE 308 SOUTH WASHINGTON, DC 20010 and the phone number is (202) 877-0400.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
