Organization Active NPI

Lanham Neuro Science Center LLC

  • Neurology Physician
  • Lanham, MD
National Provider Identifier
1336383835
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LANHAM NEURO SCIENCE CENTER LLC
Practice address
9841 Greenbelt Rd Ste 206
Lanham, MD 20706-6270
Phone
(301) 552-0008
Fax
(301) 552-2066
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Shimellis Alemayehu, MDNPI 1790883288
Title
Owner
Phone
(301) 552-6666

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X

Addresses

Primary practice location

9841 Greenbelt Rd Ste 206
Lanham, MD 20706-6270

Mailing address

9841 Greenbelt Rd Ste 206
Lanham, MD 20706-6270
Phone (301) 552-0008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091027000674 DC Part B Supplier - Clinic/Group Practice 9032256896 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD

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": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1336383835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 GREENBELT RD STE 206",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066270",
            "telephone_number": "301-552-0008",
            "fax_number": "301-552-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 GREENBELT RD STE 206",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066270",
            "telephone_number": "301-552-0008",
            "fax_number": "301-552-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANHAM NEURO SCIENCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "ALEMAYEHU",
        "authorized_official_first_name": "SHIMELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-552-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 26, 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.