NPIMap

Organization Active NPI

Primecare Med LLC

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1164667192
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMECARE MED LLC
Practice address
50 W Edmonston Dr
Suite 401
Rockville, MD 20852-1228
Phone
(301) 762-3030
Fax
(301) 762-3998
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Pankaj Talwar, M.D.NPI 1174546410
Title
Sole Proprietor/Owner
Phone
(301) 762-3030

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

50 W Edmonston Dr
Suite 401
Rockville, MD 20852-1228

Mailing address

PO Box 60620
Potomac, MD 20859-0620
Phone (301) 762-3030

Other identifiers 1

IdentifierTypeStateIssuer
213065701OtherMDOWNER SS#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000459 DC Part B Supplier - Clinic/Group Practice 3971667486 Receives reassigned benefits from 2 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

50 W Edmonston Dr
Ste 401
Rockville, MD 20852
Phone (301) 424-1559

Practitioners & affiliated clinicians

Practitioners 3

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1164667192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60620",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208590620",
            "telephone_number": "301-762-3030",
            "fax_number": "301-762-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR",
            "address_2": "SUITE 401",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521228",
            "telephone_number": "301-762-3030",
            "fax_number": "301-762-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "TALWAR",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "301-762-3030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER SS#",
            "identifier": "213065701",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.