NPIMap

Organization Active NPI

Medstar Urgent Care, LLC

Doing business as MedStar PromptCare-Wheaton

  • Urgent Care Clinic/Center
  • Wheaton, MD
National Provider Identifier
1871843409
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDSTAR URGENT CARE, LLC
Doing business as
MedStar PromptCare-Wheaton
Practice address
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone
(301) 942-4505
Fax
(301) 942-4509
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Jamie Steele
Title
Sr. Cred/Payor Specialist
Phone
(410) 933-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11915 Georgia Ave
Wheaton, MD 20902-2065

Mailing address

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

Other names 1

  • MedStar PromptCare-Wheaton Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120607000236 MD Part B Supplier - Clinic/Group Practice 9335303155 Receives reassigned benefits from 517 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Annapolis, MD; Waldorf, MD; Towson, MD; Pikesville, MD; Pasadena, MD; Nottingham, MD; Lexington Park, MD; La Plata, MD…
O20130513000540 DC Part B Supplier - Clinic/Group Practice 9335303155 Receives reassigned benefits from 544 practitioners
1 other NPI on this enrollment
Practice locations: Wheaton, MD; Washington, DC; Gaithersburg, MD; Silver Spring, MD; Rockville, MD; Potomac, MD; Hyattsville, MD; Germantown, MD…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1103 Half St SW
Washington, DC 20024

12 Medstar Blvd
Ste 125
Bel Air, MD 21015

6401 America Blvd
Hyattsville, MD 20782
Phone (301) 209-5480

6401 America Blvd
Ste 200
Hyattsville, MD 20782
Phone (203) 597-7407

350 Fortune Ter
Ste D
Rockville, MD 20854
Phone (301) 309-0016

3610D King St
Alexandria, VA 22302
Phone (703) 845-2815

1000 N Glebe Rd
#A
Arlington, VA 22201

1000A N Glebe Rd
Arlington, VA 22201

Practitioners & affiliated clinicians

Practitioners 590

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.

View all 590

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1871843409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022065",
            "telephone_number": "301-942-4505",
            "fax_number": "301-942-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022065",
            "telephone_number": "301-942-4505",
            "fax_number": "301-942-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "SR. CRED/PAYOR SPECIALIST",
        "authorized_official_telephone_number": "410-933-3073"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar PromptCare-Wheaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.