Organization Active NPI

Major Medical LLC

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1093039570
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD64592 Issued in MD
Legal business name
MAJOR MEDICAL LLC
Practice address
1300 Spring St
Suite 122
Silver Spring, MD 20910-3616
Phone
(301) 585-1833
Fax
(240) 235-3898
NPI assigned
Mar 26, 2010
Last updated
Sep 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Dr. Mark Ammaan Major, M.D.NPI 1407032485
Title
Doctor/Owner
Phone
(301) 585-1833

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD64592 MD Primary
Family Medicine Physician 207Q00000X MD036021 DC
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

1300 Spring St
Suite 122
Silver Spring, MD 20910-3616

Mailing address

2129 Clark PL
Silver Spring, MD 20910-1175
Phone (301) 585-1833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100514000264 DC Part B Supplier - Clinic/Group Practice 1557499373 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD
O20180529002617 MD DME Supplier - Physician - Family Practice 1557499373 Practice locations: Silver Spring, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2043931Major Medical LLC1300 Spring Street #122, Silver Spring, MD 20910Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Major Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11668/brand/1/csg/1/fhir/r4

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": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1093039570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 CLARK PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101175",
            "telephone_number": "301-585-1833",
            "fax_number": "240-235-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SPRING ST",
            "address_2": "SUITE 122",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103616",
            "telephone_number": "301-585-1833",
            "fax_number": "240-235-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "AMMAAN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "301-585-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "MD64592",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD036021",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.