Active NPI
Agile Healthcare Services Inc
- Internal Medicine Physician
- Silver Spring, MD
National Provider Identifier
1649974056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- AGILE HEALTHCARE SERVICES INC
- Practice address
- 10107 New Hampshire Ave Ste a
Silver Spring, MD 20903-1713 - Phone
- (240) 247-0077
- Fax
- (240) 247-0076
- NPI assigned
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Kirby
- Title
- Administrator
- Phone
- (301) 651-3980
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
10107 New Hampshire Ave Ste a
Silver Spring, MD 20903-1713
Mailing address
1635 Hugo Cir
Silver Spring, MD 20906-5922
Other names 1
- One Stop Health Care Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Agile Healthcare Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Silver Spring, MD
- NPI 1770361784
Locations
10107 New Hampshire Ave
#One
Silver Spring, MD 20903
Phone (240) 247-0077
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Urgent Care Clinic/Center
- Silver Spring, MD
- NPI 1770361784
Practitioners & affiliated clinicians
Practitioners 3
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": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1649974056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 HUGO CIR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209065922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10107 NEW HAMPSHIRE AVE STE A",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031713",
"telephone_number": "240-247-0077",
"fax_number": "240-247-0076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGILE HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-29",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-651-3980"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One Stop Health Care Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "One Stop Health Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.