NPIMap

Organization Active NPI

MGMC, LLC

  • General Practice Physician
  • Washington, DC
National Provider Identifier
1891797148
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MGMC, LLC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(888) 896-1400
NPI assigned
Jun 1, 2005
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Stephanie Schneider
Title
VP
Phone
(703) 558-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

PO Box 418283
Boston, MA 02241-8283

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031118000305 MD Part B Supplier - Clinic/Group Practice 9537073119 Receives reassigned benefits from 122 practitioners
1 other NPI on this enrollment
Practice locations: White Plain, MD; Waldorf, MD; Prince Frederick, MD; Mt Airy, MD; Leonardtown, MD; Frederick, MD; Charlotte Hall, MD; Baltimore, MD…
O20031220000056 DC Part B Supplier - Clinic/Group Practice 9537073119 Receives reassigned benefits from 951 practitioners
2 other NPIs on this enrollment
Practice locations: Reston, VA; Rockville, MD; Silver Spring, MD; Washington, DC; Fairfax, VA; Olney, MD; Alexandria, VA; Annandale, VA…
O20110329000024 VA Part B Supplier - Clinic/Group Practice 9537073119 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
Practice locations: Woodbridge, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

219 50th St SE
Washington, DC 20019
Phone (412) 498-1360

3800 Reservoir Rd NW
#2
Washington, DC 20007
Phone (202) 444-0395

3800 Reservoir Rd NW
Ste 2
Washington, DC 20007

3800 Reservoir Rd NW
Ste 5CCC
Washington, DC 20007

4200 Wisconsin Ave NW
Ste 200
Washington, DC 20016
Phone (202) 444-8888

2629 Riva Rd
Annapolis, MD 21401
Phone (301) 651-7448

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

12825 Minnieville Rd
Ste 203
Woodbridge, VA 22192
Phone (730) 971-3701

Practitioners & affiliated clinicians

Practitioners 972

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 972

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1891797148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418283",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "888-896-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-558-1403"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.