NPIMap

Adventist Physician Service, Inc

Organization Active NPI Orthopaedic Surgery Physician · Rockville, MD

NPI 1134055080 · NPPES record last updated Jun 22, 2026

Key facts

NPI
1134055080
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ADVENTIST PHYSICIAN SERVICE, INC
Practice address
9601 Blackwell Rd Ste 100
Rockville, MD 20850-6477
Phone
(301) 340-9200
NPI assigned
Jun 19, 2026
Organization subpart
No

Authorized official

Name
Okezue Nwachuku
Title
Managed Care Director
Phone
(301) 315-3170

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Adventist Physician Services PRBH (53 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes

Addresses

Primary practice location

9601 Blackwell Rd Ste 100
Rockville, MD 20850-6477

Mailing address

820 W Diamond Ave Ste 500
Gaithersburg, MD 20878-1469

Other names

  • Adventist Medical Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 22, 2026.

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1134055080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE STE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506477",
            "telephone_number": "301-340-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST PHYSICIAN SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "NWACHUKU",
        "authorized_official_first_name": "OKEZUE",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "301-315-3170"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

All providers in Rockville, MD · Orthopaedic Surgery Physician in Maryland

Sources for this page

Verify at the official NPI Registry.