Organization Active NPI

Total Access Medical Services LLC

  • Urgent Care Clinic/Center
  • Rockville, MD
National Provider Identifier
1023555273
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
D00064361 Issued in MD
Legal business name
TOTAL ACCESS MEDICAL SERVICES LLC
Practice address
9740 Traville Gateway Dr
Rockville, MD 20850-7409
Phone
(240) 750-0147
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. Nana Adu-Amankwa, MDNPI 1972697837
Title
Owner
Phone
(240) 870-0147

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X D00064361 MD Primary

Addresses

Primary practice location

9740 Traville Gateway Dr
Rockville, MD 20850-7409

Mailing address

9740 Traville Gateway Dr
Rockville, MD 20850-7409
Phone (240) 750-0147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170619000304 DC Part B Supplier - Clinic/Group Practice 1456629344 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

9740 Traville Gateway Dr
Rockville, MD 20850
Phone (240) 499-8664

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16248/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1023555273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 TRAVILLE GATEWAY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507409",
            "telephone_number": "240-750-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 TRAVILLE GATEWAY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507409",
            "telephone_number": "240-750-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ACCESS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "ADU-AMANKWA",
        "authorized_official_first_name": "NANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-870-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "D00064361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.