NPIMap

Organization Active NPI

PD Associates Inc

Doing business as Prime medical

  • Family Nurse Practitioner
  • Catonsville, MD
National Provider Identifier
1386160877
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PD ASSOCIATES INC
Doing business as
Prime medical
Practice address
2 W Rolling XRDS Ste 206
Catonsville, MD 21228-6211
Phone
(410) 402-9990
Fax
(410) 402-9991
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Parminder Singh, NPNPI 1174873806
Title
Owner/ Provider
Phone
(443) 515-8725

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2 W Rolling XRDS Ste 206
Catonsville, MD 21228-6211

Mailing address

7831 Taggart CT
Elkridge, MD 21075-8100
Phone (773) 717-3356

Other identifiers 1

IdentifierTypeStateIssuer
207147900OtherMDMEDICAID

Other names 1

  • Prime medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170926002473 MD Part B Supplier - Clinic/Group Practice 5092089300 Receives reassigned benefits from 5 practitioners
Practice locations: Catonsville, MD
O20191017001284 DC Part B Supplier - Clinic/Group Practice 5092089300 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD; Accokeek, 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
21D2145313Prime Medical2 W Rolling Crossroads Suite 206, Catonsville, MD 21228Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
PD Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2 W Rolling Xrds
#206
Catonsville, MD 21228

Practitioners & affiliated clinicians

Practitioners 5

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": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1386160877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 TAGGART CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210758100",
            "telephone_number": "773-717-3356",
            "fax_number": "217-670-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W ROLLING XRDS STE 206",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286211",
            "telephone_number": "410-402-9990",
            "fax_number": "410-402-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "443-515-8725",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "207147900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.