Organization Active NPI

Clifana Medical Enterprises LLC

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1184953804
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLIFANA MEDICAL ENTERPRISES LLC
Practice address
2025 East West Highway
Silver Spring, MD 20910-2602
Phone
(301) 328-5182
Fax
(301) 589-2505
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Cliford Lester Ferguson, M.D.
Title
Medical Director
Phone
(301) 328-5182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD Primary

Addresses

Primary practice location

2025 East West Highway
Silver Spring, MD 20910-2602

Mailing address

2025 East West Highway
Silver Spring, MD 20910-2602
Phone (301) 328-5182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100413000059 DC Part B Supplier - Clinic/Group Practice 5799810420 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

2025 E West Hwy
Lowr
Silver Spring, MD 20910
Phone (301) 328-5182

2025 E West Hwy
Silver Spring, MD 20910
Phone (301) 328-5182

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": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1184953804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 EAST WEST HIGHWAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102602",
            "telephone_number": "301-328-5182",
            "fax_number": "301-589-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EAST WEST HIGHWAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102602",
            "telephone_number": "301-328-5182",
            "fax_number": "301-589-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFANA MEDICAL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "CLIFORD",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-328-5182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.