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ACT HEALTH INTEGRATED SERVICES, LLC
NPI 1871088641
Clinic/Center - Multi-Specialty in Gaithersburg, MD

Active since June 25, 2018CLIA 21D2170476 · Waiver
800 S FREDERICK AVE STE 208, GAITHERSBURG, MD 20877(301) 679-5770(301) 235-1520 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2019, Jun 25, 2018 (2 updates tracked since 2018).

About Act Health Integrated Services, Llc NPPES

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

ACT HEALTH INTEGRATED SERVICES, LLC (NPI 1871088641) is a healthcare organization registered as a multi-specialty in Gaithersburg, Maryland and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Mary Fowaah Boateng, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1871088641
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameACT HEALTH INTEGRATED SERVICES, LLC
Location Address800 S FREDERICK AVE STE 208Gaithersburg, MD 20877-4152
Mailing Address800 S Frederick Ave Ste 208Gaithersburg, MD 20877-4152 · (301) 679-5770 · Fax (301) 235-1520
Phone(301) 679-5770
Fax(301) 235-1520
Organization SubpartNo
Authorized OfficialMary Fowaah BoatengFamily Nurse Practitioner · (301) 679-5770
Enumeration DateJune 25, 2018
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1871088641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in MD · R214992
800 S FREDERICK AVE STE 208, Gaithersburg, MD 20877
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Act Health Integrated Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Act Health Integrated Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Boateng, DNP, FNP
Nurse Practitioner
NPI 1205343498
800 S FREDERICK AVE STE 208
Gaithersburg, MD 20877
(301) 679-5770
✔ PECOS✔ Accepts MedicareSame address

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 21D2170476

Act Health Integrated Services, LLC · Gaithersburg, MD
Active · expires Aug 12, 2027
CLIA Number21D2170476
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorMary F. Boateng
Laboratory Phone(301) 679-5770
Laboratory LocationAct Health Integrated Services, LLC800 S Frederick Ave #208, Gaithersburg, MD 20877
CLIA data matches this NPI record on: Name Phone
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 Act Health Integrated Services, LLC's NPI number?

The NPI number for Act Health Integrated Services, LLC is 1871088641. It was assigned to this organization in the NPPES registry on June 25, 2018.

Where is Act Health Integrated Services, LLC located?

Act Health Integrated Services, LLC is located at 800 S Frederick Ave Ste 208, Gaithersburg, MD 20877. The listed phone number is (301) 679-5770.

What is Act Health Integrated Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Act Health Integrated Services, LLC enrolled in Medicare?

Yes. Act Health Integrated Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Act Health Integrated Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Act Health Integrated Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Act Health Integrated Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2170476) is associated with this NPI, valid through August 12, 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 Act Health Integrated Services, LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.