Organization Active NPI

Bediccaa Medical Services

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1235828526
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BEDICCAA MEDICAL SERVICES
Practice address
4850 Forbes Blvd Ste D
Lanham, MD 20706-4882
Phone
(301) 459-5667
Fax
(301) 459-7059
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Edith N Arah, FNPNPI 1437414174
Title
President
Phone
(240) 481-8126

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 Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4850 Forbes Blvd Ste D
Lanham, MD 20706-4882

Mailing address

4850 Forbes Blvd Ste D
Lanham, MD 20706-4882
Phone (301) 459-5667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629004230 DC Part B Supplier - Clinic/Group Practice 6709245376 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

4850 Forbes Blvd
Ste D
Lanham, MD 20706
Phone (301) 459-5667

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": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1235828526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 FORBES BLVD STE D",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064882",
            "telephone_number": "301-459-5667",
            "fax_number": "301-459-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 FORBES BLVD STE D",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064882",
            "telephone_number": "301-459-5667",
            "fax_number": "301-459-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDICCAA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "ARAH",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-481-8126",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.