NPIMap

Organization Active NPI

Primary Care and Diabetes Wellness Center LLC

  • Primary Care Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1730086695
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMARY CARE AND DIABETES WELLNESS CENTER LLC
Practice address
9500 Medical Center Dr Ste 262
Upper Marlboro, MD 20774-3709
Phone
(301) 377-3168
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Rokhaya MbayeNPI 1073389821
Title
Provider
Phone
(301) 377-3168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9500 Medical Center Dr Ste 262
Upper Marlboro, MD 20774-3709

Mailing address

9500 Medical Center Dr Ste 262
Upper Marlboro, MD 20774-3709
Phone (301) 377-3168

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, 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": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1730086695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 262",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743709",
            "telephone_number": "301-377-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 262",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743709",
            "telephone_number": "301-377-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND DIABETES WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "MBAYE",
        "authorized_official_first_name": "ROKHAYA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-377-3168"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.