Organization Active NPI

University Medical Care Inc

  • Primary Care Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1689926867
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0072842 Issued in MD
Legal business name
UNIVERSITY MEDICAL CARE INC
Practice address
11303 Amherst Ave
Suite 2
Silver Spring, MD 20902-4600
Phone
(240) 833-8014
Fax
(240) 833-8047
NPI assigned
Oct 11, 2012
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Mr. Abrham Mengesha Agonafir
Title
Operations Manager
Phone
(469) 831-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0072842 MD Primary

Addresses

Primary practice location

11303 Amherst Ave
Suite 2
Silver Spring, MD 20902-4600

Mailing address

11303 Amherst Ave
Suite 2
Silver Spring, MD 20902-4600
Phone (240) 833-8014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000201 DC Part B Supplier - Clinic/Group Practice 5991955155 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

11303 Amherst Ave
Ste 2
Silver Spring, MD 20902
Phone (240) 604-2949

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7406/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1689926867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE",
            "address_2": "SUITE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "240-833-8014",
            "fax_number": "240-833-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE",
            "address_2": "SUITE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "240-833-8014",
            "fax_number": "240-833-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "AGONAFIR",
        "authorized_official_first_name": "ABRHAM",
        "authorized_official_middle_name": "MENGESHA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "469-831-1727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0072842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 17, 2013; 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.