BLUEROCK PRIMARY CARE
NPI 1831719806
Family Medicine - Adult Medicine in Washington, DC

Active since April 20, 2020CLIA 09D2218486 · Waiver
3230 PENNSYLVANIA AVE SE STE 205, WASHINGTON, DC 20020(202) 796-9775 Get Directions Write a Review

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

Record update history: Aug 3, 2026, Jul 27, 2026, Apr 20, 2020 (3 updates tracked since 2020).

About Bluerock Primary Care NPPES

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

BLUEROCK PRIMARY CARE (NPI 1831719806) is a healthcare organization registered as an adult medicine in Washington, District Of Columbia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Alka Gupta, Administrator, as its authorized official.

NPPES Registry Identity

NPI1831719806
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameBLUEROCK PRIMARY CARE
Location Address3230 PENNSYLVANIA AVE SE STE 205Washington, DC 20020-3731
Mailing Address3230 Pennsylvania Ave Se Ste 205Washington, DC 20020-3731 · (202) 796-9775
Organization SubpartNo
Authorized OfficialAlka GuptaAdministrator · (571) 246-1709
Enumeration DateApril 20, 2020
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1831719806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3230 PENNSYLVANIA AVE SE STE 205, Washington, DC 20020

Other Identifiers 1

Medicaid052623375DC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluerock Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bluerock Primary Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1497596274
3230 PENNSYLVANIA AVE SE STE 205
Washington, DC 20020
(202) 796-9775
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1326363870
3230 PENNSYLVANIA AVE SE STE 205
Washington, DC 20020
(202) 796-9775
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396153797
3230 PENNSYLVANIA AVE SE STE 205
Washington, DC 20020
(202) 796-9775
✔ PECOSSame address
Infectious Disease
NPI 1588664056
2041 GEORGIA AVE NW
Washington, DC 20060
(404) 964-5425
✔ PECOS4.7 mi
Nurse Practitioner
NPI 1720810898
901 HARRY S TRUMAN DR N
Largo, MD 20774
(904) 372-3943
✔ PECOS✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1265222178
9905 MARGUERITA AVE
Glenn Dale, MD 20769
(619) 817-5461
✔ PECOS✔ Accepts Medicare10 mi

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 09D2218486

Bluerock Primary Care · Washington, DC
Active · expires Mar 28, 2027
CLIA Number09D2218486
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDr. Alka Gupta
Laboratory Phone(202) 796-9773
Laboratory LocationBluerock Primary Care3230 Pennsylvannia Ave. SE, Suite 205, Washington, DC 20020
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bluerock Primary Care's NPI number?

The NPI number for Bluerock Primary Care is 1831719806. It was assigned to this organization in the NPPES registry on April 20, 2020.

Where is Bluerock Primary Care located?

Bluerock Primary Care is located at 3230 Pennsylvania Ave SE Ste 205, Washington, DC 20020. The listed phone number is (202) 796-9775.

What is Bluerock Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Bluerock Primary Care enrolled in Medicare?

Yes. Bluerock Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluerock Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bluerock Primary Care. 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 (4), Infectious Disease (1) and Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bluerock Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 09D2218486) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bluerock Primary Care was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.