ADVANCE INTEGRATED HEALTH, LLC
NPI 1952934671
Clinic/Center - Multi-Specialty in Bowie, MD

Active since February 20, 2020
16204 PENTERRA WAY, BOWIE, MD 20716(301) 978-1990 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advance Integrated Health, Llc NPPES

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

ADVANCE INTEGRATED HEALTH, LLC (NPI 1952934671) is a healthcare organization registered as a multi-specialty in Bowie, Maryland and active in the NPI registry since February 2020. The organization lists Deborah Kesewah Koroma, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1952934671
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameADVANCE INTEGRATED HEALTH, LLC
Location Address16204 PENTERRA WAYBowie, MD 20716-1919
Mailing Address16204 Penterra WayBowie, MD 20716-1919 · (301) 978-1990
Organization SubpartNo
Authorized OfficialDeborah Kesewah KoromaNurse Practitioner · (301) 978-1990
Enumeration DateFebruary 20, 2020
✔ NPI 1952934671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
16204 PENTERRA WAY, Bowie, MD 20716

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advance Integrated Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1780982066
8700 CENTRAL AVE STE 302A
Landover, MD 20785
(301) 613-9295
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1629323464
11916 FROST DR
Bowie, MD 20720
(240) 592-5511
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1043579998
1818 NEW YORK AVE NE 228
Washington, DC 20002
(202) 832-8340
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1790324960
101 PAUL MELLON CT STE 5
Waldorf, MD 20602
(301) 810-4026
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1720732423
22 S GREENE ST
Baltimore, MD 21201
(443) 668-1460
✔ PECOS27 mi

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 Advance Integrated Health, LLC's NPI number?

The NPI number for Advance Integrated Health, LLC is 1952934671. It was assigned to this organization in the NPPES registry on February 20, 2020.

Where is Advance Integrated Health, LLC located?

Advance Integrated Health, LLC is located at 16204 Penterra Way, Bowie, MD 20716. The listed phone number is (301) 978-1990.

What is Advance Integrated Health, LLC's specialty?

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

Is Advance Integrated Health, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Advance Integrated Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Advance Integrated Health, 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, 2 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 Advance Integrated Health, LLC was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.