NPIMap

Organization Active NPI

Comprehensive Primary Care and Associates, LLC

  • Internal Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1093536823
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Practice address
5530 Wisconsin Ave Ste 530
Chevy Chase, MD 20815-4451
Phone
(301) 869-9776
Fax
(301) 417-4945
NPI assigned
Oct 23, 2024
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ian C Lampkin
Title
Credentialing Pe Specialist
Phone
(667) 303-1042

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 530
Chevy Chase, MD 20815-4451

Mailing address

15245 Shady Grove Rd Ste 340
Rockville, MD 20850-7201
Phone (301) 869-9776

Other identifiers 1

IdentifierTypeStateIssuer
420692402MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Primary Care25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1093536823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507201",
            "telephone_number": "301-869-9776",
            "fax_number": "301-417-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 530",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154451",
            "telephone_number": "301-869-9776",
            "fax_number": "301-417-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LAMPKIN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING PE SPECIALIST",
        "authorized_official_telephone_number": "667-303-1042"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420692402",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.