Organization Active NPI

Primary Medicine LLC

  • Family Medicine Physician
  • Crofton, MD
National Provider Identifier
1164374245
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY MEDICINE LLC
Practice address
1302 Cronson Blvd Ste E
Crofton, MD 21114-2064
Phone
(410) 451-1301
NPI assigned
Feb 11, 2026
Organization subpart
Yes
Parent organization
PRIMARY MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Kaveh SadeghiNPI 1073832044
Title
MD
Phone
(301) 498-9494

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1302 Cronson Blvd Ste E
Crofton, MD 21114-2064

Mailing address

PO Box 2510
Laurel, MD 20709-2510

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
21D2015557Primary Medicine LLC1302 Cronson Blvd Suite E, Crofton, MD 21114Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Primary Medicine LLC5 organizations share this tax ID, including this one
Part of
Primary Medicine LLC

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1164374245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207092510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CRONSON BLVD STE E",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142064",
            "telephone_number": "410-451-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY MEDICINE LLC",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-498-9494"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.