Primecare Internal Medicine Associates, LLC
Organization Active NPI Internal Medicine Physician · Finksburg, MD
NPI 1467328864 · NPPES record last updated Dec 18, 2025
Key facts
- NPI
- 1467328864
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PRIMECARE INTERNAL MEDICINE ASSOCIATES, LLC
- Practice address
- 2059 Baltimore Blvd
Finksburg, MD 21048-1301 - Phone
- (443) 850-2323
- Fax
- (410) 941-2766
- NPI assigned
- Oct 13, 2025
- Organization subpart
- No
Authorized official
- Name
- Bernard A Mbeboh, MD
- Title
- MD
- Phone
- (443) 850-2323
Practitioners 3
-
Kavita Patel, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2336947 | Primecare Internal Medicine Associates LLC | Certificate of waiver | Jan 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260106003695 | MD | Part B Supplier - Clinic/Group Practice | 0547756876 |
Receives reassigned benefits from 2 practitioners Practice locations: Finksburg, MD |
National Provider Directory
Locations
2059 Baltimore Blvd
Finksburg, MD 21048
Phone (410) 876-5148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
2059 Baltimore Blvd
Finksburg, MD 21048-1301
Mailing address
2059 Baltimore Blvd
Finksburg, MD 21048-1301
Phone (443) 850-2323
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 4438502323 | Health Information Exchange (HIE) |
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All providers in Finksburg, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.