Active NPI
Healthy Checkups LLC
- Family Nurse Practitioner
- Gaithersburg, MD
National Provider Identifier
1134434665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R116795
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18214 | MD | |
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.