Organization Active NPI

Galaxy Medical Services, LLC

  • Clinic/Center
  • Temple Hills, MD
National Provider Identifier
1497181812
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
R132487 Issued in MD
Legal business name
GALAXY MEDICAL SERVICES, LLC
Practice address
3611 Branch Ave Ste 309
Temple Hills, MD 20748-1242
Phone
(301) 909-0123
Fax
(301) 909-0050
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Eunice Adaku Okoro, NPNPI 1346267770
Title
Owner
Phone
(301) 909-0123

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
Clinic/Center 261Q00000X R132487 MD Primary
Primary Care Clinic/Center 261QP2300X R132487 MD

Addresses

Primary practice location

3611 Branch Ave Ste 309
Temple Hills, MD 20748-1242

Mailing address

3611 Branch Ave Ste 309
Temple Hills, MD 20748-1242
Phone (301) 909-0123

Other identifiers 1

IdentifierTypeStateIssuer
061222700MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140421000051 DC Part B Supplier - Clinic/Group Practice 1052543386 Receives reassigned benefits from 1 practitioner
Practice locations: Temple Hills, MD

National Provider Directory

National Provider Directory
Tax ID family
Galaxy Medical Services 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

3611 Branch Ave
Ste 309
Temple Hills, MD 20748
Phone (240) 441-7299

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": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1497181812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 309",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481242",
            "telephone_number": "301-909-0123",
            "fax_number": "301-909-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 309",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481242",
            "telephone_number": "301-909-0123",
            "fax_number": "301-909-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "ADAKU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-909-0123",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "R132487",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R132487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061222700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.