Organization Active NPI

Value in Prevention of Maryland, LLC

  • Internal Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1225563232
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALUE IN PREVENTION OF MARYLAND, LLC
Practice address
5530 Wisconsin Avenue
Suite 1445
Chevy Chase, MD 20815-4404
Phone
(301) 634-1345
NPI assigned
Apr 27, 2017
Organization subpart
Yes
Parent organization
MDVIP MEDICAL GROUP HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Dr. Andrea Klemes, D.O.
Title
Member
Phone
(561) 982-4300

Specialties & licenses 1

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

Addresses

Primary practice location

5530 Wisconsin Avenue
Suite 1445
Chevy Chase, MD 20815-4404

Mailing address

4950 Communication Avenue
Suite 100
Boca Raton, FL 33431-3307
Phone (561) 982-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180515000290 DC Part B Supplier - Clinic/Group Practice 5193089472 Receives reassigned benefits from 4 practitioners
Practice locations: Chevy Chase, MD
O20220527000115 MD Part B Supplier - Clinic/Group Practice 5193089472 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

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
21D2143487Value in Prevention of Maryland LLC5530 Wisconsin Avenue Suite 1445, Chevy Chase, MD 20815Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory
Part of
Mdvip Medical Group Holdings LLC

Practitioners & affiliated clinicians

Practitioners 4

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": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1225563232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVENUE",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313307",
            "telephone_number": "561-982-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVENUE",
            "address_2": "SUITE 1445",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-634-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE IN PREVENTION OF MARYLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS LLC",
        "enumeration_date": "2017-04-27",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.