Organization Active NPI

International Family Medicine Inc

  • Internal Medicine Physician
  • Kensington, MD
National Provider Identifier
1497532329
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNATIONAL FAMILY MEDICINE INC
Practice address
10901 Connecticut Ave Ste 300
Kensington, MD 20895-1647
Phone
(301) 377-9962
Fax
(240) 290-1045
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Reyna Cartagena
Title
Office Administrator
Phone
(301) 377-9962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10901 Connecticut Ave Ste 300
Kensington, MD 20895-1647

Mailing address

10901 Connecticut Ave Ste 300
Kensington, MD 20895-1647
Phone (301) 377-9962

Other names 1

  • International Family Medicine Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231027002585 DC Part B Supplier - Clinic/Group Practice 7719333657 Receives reassigned benefits from 6 practitioners
Practice locations: Kensington, 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
21D2292380International Family Medicine Inc10901 Connecticut Ave Suite 300, Kensington, MD 20895Certificate of waiverOct 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1497532329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE STE 300",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951647",
            "telephone_number": "301-377-9962",
            "fax_number": "240-290-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE STE 300",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951647",
            "telephone_number": "301-377-9962",
            "fax_number": "240-290-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "CARTAGENA",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-377-9962"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Family Medicine Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.