Organization Active NPI

Nilemed LLC

  • Internal Medicine Physician
  • Clarksville, MD
National Provider Identifier
1053034603
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Sep 20, 2022

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221109002278 MD Part B Supplier - Clinic/Group Practice 4284001967 Receives reassigned benefits from 2 practitioners
Practice locations: Clarksville, MD
O20230218000011 DC Part B Supplier - Clinic/Group Practice 4284001967 Receives reassigned benefits from 2 practitioners
Practice locations: Landover, MD

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.