Organization Active NPI

Healthy Checkups LLC

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1134434665
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R116795 Issued in MD
Legal business name
HEALTHY CHECKUPS LLC
Practice address
17051 Oakmont Ave Ste D
Gaithersburg, MD 20877-4142
Phone
(240) 543-6572
Fax
(240) 477-6169
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Afshin Abedi, PH.D.
Title
Cfo
Phone
(240) 543-6572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 18214 MD
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X R116795 MD Primary

Addresses

Primary practice location

17051 Oakmont Ave Ste D
Gaithersburg, MD 20877-4142

Mailing address

17051 Oakmont Ave Ste D
Gaithersburg, MD 20877-4142
Phone (240) 543-6572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000031 DC Part B Supplier - Clinic/Group Practice 5092997619 Receives reassigned benefits from 2 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

17051 Oakmont Ave
Ste B
Gaithersburg, MD 20877
Phone (240) 543-6572

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": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1134434665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 OAKMONT AVE STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774142",
            "telephone_number": "240-543-6572",
            "fax_number": "240-328-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 OAKMONT AVE STE D",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774142",
            "telephone_number": "240-543-6572",
            "fax_number": "240-477-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHECKUPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ABEDI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "240-543-6572",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R116795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.