Plumtree Family Health Center, LLC

Key facts

NPI: 1013106301
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: PLUMTREE FAMILY HEALTH CENTER, LLC
Practice address: 104 Plumtree Rd Ste 102
Bel Air, MD 21015-6095
Phone: (410) 569-4224
Fax: (410) 569-4368
NPI assigned: Oct 23, 2007
Organization subpart: No

Authorized official

Name: Mr. Roy Rothenberg, PA-C
Title: Member, LLC
Phone: (410) 569-4224

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Adedayo Akinlofa, CRNP Family Nurse Practitioner · Baltimore, MD · NPI 1831622216

Medicare reassignment Care Compare group NPD MD
Agatha Hughes, CRNP Primary Care Nurse Practitioner · Bel Air, MD · NPI 1700603073

Medicare reassignment Care Compare group NPD MD
Robert Knight, M.D. Family Medicine Physician · Bel Air, MD · NPI 1639258932

Medicare reassignment Care Compare group NPD FAMILY MEDICINE · MD
Lindsey Marie Kruk, PAC Medical Physician Assistant · Bel Air, MD · NPI 1679610794

Medicare reassignment Care Compare group MD
Kelsey Furstenberg, CRNP Family Nurse Practitioner · Ellicott City, MD · NPI 1558073155

Medicare reassignment NPD MD
D Jean Overacre, PAC Medical Physician Assistant · Bel Air, MD · NPI 1578642898

Medicare reassignment MD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
21D0892677	Plumtree Family Health Center 104 Plumtree Road, Suite 102, Bel Air, MD 21015	Provider-performed microscopy	Oct 24, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040930000712	MD	Part B Supplier - Clinic/Group Practice	7113996653	Receives reassigned benefits from 6 practitioners Practice locations: Bel Air, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X			Yes

Addresses

Primary practice location

104 Plumtree Rd Ste 102
Bel Air, MD 21015-6095

Mailing address

104 Plumtree Rd Ste 102
Bel Air, MD 21015-6095
Phone (410) 569-4224

Other identifiers

Identifier	Type	State	Issuer
CN5164	Other		RAILROAD MEDICARE
751202300	Medicaid	MD

Other providers in Bel Air, MD

PK Gynecology and Aesthetics
Jessica Leigh Placek, LCSW-C
Karen Alexis Plaisir, CRNP
Stefanie Plitt, LCSW-C
Nikki Plummer, LCSWC
Plumtree Pediatrics, LLC
Robert T Poane
Nicholas Podhorniak, DO
Podiatric Physicians & Surgeons, LLC
Podiatry Associates Ambulatory Surgical Centers LLC

All providers in Bel Air, MD · Family Medicine Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.