Active NPI
Nilemed LLC
- Internal Medicine Physician
- Clarksville, MD
National Provider Identifier
1053034603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NILEMED LLC
- Practice address
- 6039 Red Clover LN
Clarksville, MD 21029-1271 - Phone
- (201) 962-0585
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nilgun Oztruk, MD
- Title
- Owner
- Phone
- (201) 962-0585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6039 Red Clover LN
Clarksville, MD 21029-1271
Mailing address
6039 Red Clover LN
Clarksville, MD 21029-1271
Phone (201) 962-0585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1053034603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6039 RED CLOVER LN",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291271",
"telephone_number": "201-962-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6039 RED CLOVER LN",
"city": "CLARKSVILLE",
"state": "MD",
"postal_code": "210291271",
"telephone_number": "201-962-0585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NILEMED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "OZTRUK",
"authorized_official_first_name": "NILGUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-962-0585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.