Organization Active NPI

Metropolitan Elite Family Practice, LLC

  • Primary Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1659782126
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D053840 Issued in MD
Legal business name
METROPOLITAN ELITE FAMILY PRACTICE, LLC
Practice address
3450 Laurel Fort Meade Rd
Suite 109
Laurel, MD 20724-2040
Phone
(301) 317-8660
Fax
(301) 317-8663
NPI assigned
May 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2014

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

Authorized official

Name
Linda Jeanette McGee, MDNPI 1730282245
Title
Owner
Phone
(301) 317-8660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D053840 MD Primary

Addresses

Primary practice location

3450 Laurel Fort Meade Rd
Suite 109
Laurel, MD 20724-2040

Mailing address

3450 Laurel Fort Meade Rd
Suite 109
Laurel, MD 20724-2040
Phone (301) 317-8660

Other identifiers 1

IdentifierTypeStateIssuer
744101100MedicaidMD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140819002614 MD Part B Supplier - Clinic/Group Practice 7719105519 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD
O20241125002628 DC Part B Supplier - Clinic/Group Practice 7719105519 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

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": "1400371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400371200000",
    "number": "1659782126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD",
            "address_2": "SUITE 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-317-8660",
            "fax_number": "301-317-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD",
            "address_2": "SUITE 109",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-317-8660",
            "fax_number": "301-317-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ELITE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-18",
        "last_updated": "2014-05-18",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-317-8660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D053840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744101100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; 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.