Active NPI
University Medical Care Inc
- Primary Care Clinic/Center
- Silver Spring, MD
National Provider Identifier
1689926867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- D0072842
- 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, 2013
- 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
- Mr. Abrham Mengesha Agonafir
- Title
- Operations Manager
- Phone
- (469) 831-1727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
11303 Amherst Ave
Ste 2
Silver Spring, MD 20902
Phone (240) 604-2949
Interoperability endpoints
- 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
- Union Pharmacy Inc
- Unisella LLC
- Unity Health Management LLC
- Unity Healthcare Sevices
- Unity Language Group, LLC
- University of Maryland Eye Associates, P.a. (University Eye Care)
- University of Maryland Eye Associates, P.a. (University Eye Care)
- University of Maryland Physicians, P.a. (University of Maryland Medical Group)
- Camille N Upchurch, MD
- Upscale Care Inc
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.