NPIMap

Organization Active NPI

Optimum Medical Group LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1326655283
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OPTIMUM MEDICAL GROUP LLC
Practice address
3211 Belair Rd Ste 1
Baltimore, MD 21213-1287
Phone
(443) 985-6011
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Blessing Gabriel, DNPNPI 1629504477
Title
Provider
Phone
(443) 985-6011

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

3211 Belair Rd Ste 1
Baltimore, MD 21213-1287

Mailing address

3211 Belair Rd Ste 1
Baltimore, MD 21213-1287
Phone (443) 985-6011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201007002138 MD Part B Supplier - Clinic/Group Practice 7517386758 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD; Owings Mills, MD

National Provider Directory

National Provider Directory
Tax ID family
Optimum Medical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3240 Belair Rd
Baltimore, MD 21213
Phone (410) 342-0616

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1326655283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 BELAIR RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131287",
            "telephone_number": "443-985-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 BELAIR RD STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131287",
            "telephone_number": "443-985-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-985-6011",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.