Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC
Complete NPI Record 1831492586
Internal Medicine in Rockville, MD

Name: Complete NPI 1831492586 Record Table
Creator: NPI Profile
License: https://www.cms.gov/data-research/cms-data/data-available-everyone

Active since December 17, 2010CLIA 09D0208956 · Microscopy

15245 SHADY GROVE RD STE 150, ROCKVILLE, MD 20850(301) 869-9776(301) 216-2592 Get Directions

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Jul 10, 2026, Apr 2, 2026 and 11 more (14 updates tracked since 2016).

Complete NPI Dataset

This page contains the complete raw NPPES record for Comprehensive Primary Care And Associates Llc (NPI 1831492586), an internal medicine organization in Rockville, MD. All 68 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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Registry File Document Utilities

NPI: 1831492586: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available: The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: COMPREHENSIVE PRIMARY CARE AND ASSOCIATES LLC: The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 15245 SHADY GROVE RD STE 340: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: ROCKVILLE: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: MD: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 208507201: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 3018699776: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 3014174947: The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 15245 SHADY GROVE RD STE 150: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: ROCKVILLE: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MD: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 208507210: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3018699776: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 3012162592: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/17/2010: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/29/2026: The date that a record was last updated or changed.
Authorized Official Last Name: KHLUDENEV: The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: KONSTANTIN: The first name of the authorized official.
Authorized Official Title or Position: PARTNER: The title or position of the authorized official.
Authorized Official Telephone Number: 3018699776: The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207Q00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: D021152: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: DC: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 207Q00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 2: H0046438: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 2: MD: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 2: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 3: 207Q00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 3: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 4: 207R00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 4: D0059013: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 4: MD: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 4: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 5: 207RG0100X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 5: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 6: 207RN0300X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 6: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 7: 207RP1001X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 7: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 8: 207RR0500X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 8: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 9: 261QM0801X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 9: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 10: 363A00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 10: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 11: 363LA2200X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 11: R129771: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 11: MD: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 11: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N: Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Authorized Official Name Prefix Text: DR.: The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
Authorized Official Credential Text: M.D.: The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
NPI Certification Date: 7/29/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Other Organization Names 1

Additional business and trade names this provider has on file with the NPPES registry.

CloseKnit Doing Business As

1/1

Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.

Secondary Practice Locations 40

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

8205 Snowden River Pkwy

1/40

Columbia, MD 21045-2038 · Phone (410) 290-9990 · Fax (410) 290-9996

4407 Hartwick Rd Ste 13

2/40

College Park, MD 20740-3209 · Phone (240) 238-4260 · Fax (703) 878-2133

20410 Observation Dr Ste 210

3/40

Germantown, MD 20876-6422 · Phone (301) 407-1466

6288 Arlington Blvd

4/40

Falls Church, VA 22044-2801 · Phone (703) 339-5858 · Fax (844) 810-8071

1499 Cornerside Blvd Bldg A

5/40

Tysons, VA 22182-2398 · Phone (703) 659-0101

6230 Central Ave Unit 6

6/40

Seat Pleasant, MD 20743-6128 · Phone (301) 869-9776 · Fax (301) 417-4947

7740 Gunston Plz

7/40

Lorton, VA 22079-1897 · Phone (703) 339-5858 · Fax (844) 810-8071

4167 Merchant Plz

8/40

Lake Ridge, VA 22192-5088 · Phone (703) 878-8800 · Fax (703) 878-2133

3801 Fairfax Dr Ste 33

9/40

Arlington, VA 22203-1762 · Phone (703) 373-9699

1050 K St NW

10/40

Washington, DC 20001-4416 · Phone (866) 233-6925

5530 Wisconsin Ave Ste 850

11/40

Chevy Chase, MD 20815-4446 · Phone (301) 869-9776 · Fax (301) 869-9776

18550 Office Park Dr

12/40

Montgomery Village, MD 20886-0586 · Phone (301) 330-2700

2500 Boston St # 103-R

13/40

Baltimore, MD 21224-3658 · Phone (443) 737-0808 · Fax (443) 737-0809

900 Kenilworth Dr

14/40

Towson, MD 21204-2203 · Phone (443) 393-3657

4501 Fairfax Dr Ste 110

15/40

Arlington, VA 22203-1647 · Phone (703) 349-6362

1515 N Courthouse Rd Ste 100

16/40

Arlington, VA 22201-2915 · Phone (703) 812-8200 · Fax (877) 561-3765

8305 Wisconsin Ave

17/40

Bethesda, MD 20814-3103 · Phone (301) 800-7000 · Fax (301) 804-2012

1953 Gallows Rd Ste 100

18/40

Tysons, VA 22182-3934 · Phone (703) 942-5331 · Fax (703) 942-5535

8455 Colesville Rd # 101-A

19/40

Silver Spring, MD 20910-3315 · Phone (240) 490-2202 · Fax (240) 490-2204

16250 Frederick Rd

20/40

Gaithersburg, MD 20877-4001 · Phone (240) 813-1447 · Fax (833) 464-5446

7100 Guilford Dr Ste 100

21/40

Frederick, MD 21704 · Phone (301) 869-9776 · Fax (301) 417-4947

5413 W Cedar Ln Ste 203C

22/40

Bethesda, MD 20814-1527 · Phone (301) 869-9776 · Fax (301) 869-9776

43810 Central Station Dr Ste 160

23/40

Ashburn, VA 20147-7210 · Phone (301) 869-9776

6045 Burke Centre Pkwy

24/40

Burke, VA 22015-3751 · Phone (703) 596-4848 · Fax (703) 596-4845

925 S Glebe Rd Ste 101

25/40

Arlington, VA 22204-2640 · Phone (571) 417-7112

1920 L St NW Ste 350

26/40

Washington, DC 20036-5072 · Phone (202) 296-4002

8175 Westside Blvd Ste D

27/40

Fulton, MD 20759-2708 · Phone (240) 580-2650 · Fax (240) 580-2651

9398 Baltimore National Pike

28/40

Ellicott City, MD 21042-2802 · Phone (410) 480-9110 · Fax (443) 325-5732

10400 Old Georgetown Rd

29/40

Bethesda, MD 20814-1914 · Phone (240) 668-0202 · Fax (240) 668-0204

2554 Solomons Island Rd

30/40

Annapolis, MD 21401-3710 · Phone (703) 878-8800

811 2nd St SE

31/40

Washington, DC 20003-5158 · Phone (202) 964-2202 · Fax (202) 964-2208

1710 Rhode Island Ave NW

32/40

Washington, DC 20036-3007 · Phone (202) 787-1979 · Fax (202) 787-1979

1609 Village Market Blvd SE Ste 110

33/40

Leesburg, VA 20175-4693 · Phone (571) 396-9558 · Fax (833) 450-0463

3117 Duke St

34/40

Alexandria, VA 22314-4518 · Phone (703) 751-8880 · Fax (844) 899-5215

8455 Colesville Rd Ste 1125

35/40

Silver Spring, MD 20910-3315 · Phone (301) 869-9776

2639 Connecticut Ave NW Ste C100

36/40

Washington, DC 20008-1593 · Phone (202) 588-1878

2900 Belcrest Center Dr Unit 107

37/40

Hyattsville, MD 20782-1912 · Phone (301) 869-9776 · Fax (301) 417-4947

9420 Fairfax Blvd Ste 4

38/40

Fairfax, VA 22031-2406 · Phone (703) 565-1823 · Fax (833) 471-4157

315 H St NE Ste A

39/40

Washington, DC 20002-7180 · Phone (202) 975-0100 · Fax (202) 975-0102

3716 Crain Hwy

40/40

Waldorf, MD 20603-4890 · Phone (301) 869-9776 · Fax (301) 417-4947

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