NPIMap

Organization Active NPI

Medicine Invention Design Incorporation

Doing business as Telehealth - Online Clinical Trial

  • Health Maintenance Organization
  • Rockville, MD
National Provider Identifier
1023387701
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MEDICINE INVENTION DESIGN INCORPORATION
Doing business as
Telehealth - Online Clinical Trial
Practice address
5545 Burnside Dr
Rockville, MD 20853-2458
Phone
(301) 222-7143
Fax
(866) 458-0099
NPI assigned
Dec 23, 2011
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Han Xu, M.D. / PH.D. / FAPCRNPI 1831468511
Title
President/Ceo/SD/Pi/Sponsor/Chair
Phone
(301) 222-7143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Ethicist 174V00000X
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P0018X
Case Management Agency 251B00000X
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Medical Specialty Clinic/Center 261QM2500X
Research Clinic/Center 261QR1100X
Clinical Medical Laboratory 291U00000X
Health Maintenance Organization 302R00000X Primary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Mail Order Pharmacy 3336M0002X
Managed Care Organization Pharmacy 3336M0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5545 Burnside Dr
Rockville, MD 20853-2458

Mailing address

5545 Burnside Dr
Rockville, MD 20853-2458
Phone (301) 222-7143

Other identifiers 5

IdentifierTypeStateIssuer
FWA00015357OtherMDHHS-OHRP-FWA
69891OtherMDFDA-NDC-LABELER-CODE
D11379922OtherMDMD-SDAT
IRB00009294OtherMDHHS-OHRP-IRB
IORG0007849OtherMDHHS-OHRP-IORG

Other names 1

  • Telehealth - Online Clinical Trial Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NPI Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1023387701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 BURNSIDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532458",
            "telephone_number": "301-222-7143",
            "fax_number": "866-458-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 BURNSIDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532458",
            "telephone_number": "301-222-7143",
            "fax_number": "866-458-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE INVENTION DESIGN INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO/SD/PI/SPONSOR/CHAIR",
        "authorized_official_telephone_number": "301-222-7143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. / PH.D. / FAPCR"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHS-OHRP-FWA",
            "identifier": "FWA00015357",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA-NDC-LABELER-CODE",
            "identifier": "69891",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD-SDAT",
            "identifier": "D11379922",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHS-OHRP-IRB",
            "identifier": "IRB00009294",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHS-OHRP-IORG",
            "identifier": "IORG0007849",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "NPI Mobile Site",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5545 Burnside Dr",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208532458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Telehealth - Online Clinical Trial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.