Organization Active NPI

Roi Primary Care, LLC

  • Primary Care Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1285428300
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROI PRIMARY CARE, LLC
Practice address
9500 Medical Center Dr Ste 270
Upper Marlboro, MD 20774-3709
Phone
(240) 615-7612
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Irene NdukweNPI 1932689007
Title
Provider
Phone
(240) 615-7612

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9500 Medical Center Dr Ste 270
Upper Marlboro, MD 20774-3709

Mailing address

9500 Medical Center Dr Ste 270
Upper Marlboro, MD 20774-3709
Phone (240) 615-7612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701003592 DC Part B Supplier - Clinic/Group Practice 8527571686 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory

Locations

9500 Medical Center Dr
Ste 270
Upper Marlboro, MD 20774
Phone (240) 615-7612

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": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1285428300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 270",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743709",
            "telephone_number": "240-615-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 270",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743709",
            "telephone_number": "240-615-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROI PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-615-7612"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.