Organization Active NPI

Metro Direct Care Medical, LLC

  • Clinic/Center
  • Chevy Chase, MD
National Provider Identifier
1295078046
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
METRO DIRECT CARE MEDICAL, LLC
Practice address
2 Wisconsin Cir Ste 700
Chevy Chase, MD 20815-7007
Phone
(202) 368-6820
NPI assigned
Mar 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

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

Authorized official

Name
Patrick Lodise
Title
Operations Manager
Phone
(202) 368-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2 Wisconsin Cir Ste 700
Chevy Chase, MD 20815-7007

Mailing address

2 Wisconsin Cir Ste 700
Chevy Chase, MD 20815-7007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130610000025 DC Part B Supplier - Clinic/Group Practice 0840438537 Receives reassigned benefits from 1 practitioner
Practice locations: Chevy Chase, 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
21D2084959Metro Direct Care Medical, LLC2 Wisconsin Circle Suite 700, Chevy Chase, MD 20815Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

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": "1364601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364601600000",
    "number": "1295078046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157007",
            "telephone_number": "202-368-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DIRECT CARE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-30",
        "last_updated": "2013-03-30",
        "status": "A",
        "authorized_official_last_name": "LODISE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "202-368-6820"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Mar 30, 2013; 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.