NPIMap

Organization Active NPI

Medstar Urgent Care LLC

Doing business as MedStar PromptCare

  • Urgent Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1902175870
Registry record updated Apr 16, 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
Practice address
6317 York Rd
Baltimore, MD 21212-2359
Phone
(443) 777-6890
Fax
(410) 433-2015
NPI assigned
Dec 22, 2011
Last updated
Apr 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Ms. Arlene Brewster
Title
Credentialing Manager
Phone
(410) 933-3017

Specialties & licenses 1

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

Addresses

Primary practice location

6317 York Rd
Baltimore, MD 21212-2359

Mailing address

6317 York Rd
Baltimore, MD 21212-2359
Phone (443) 777-6890

Other names 1

  • MedStar PromptCare Doing business as

Medicare participation

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

Enrollment records 1

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
Practice locations: Annapolis, MD; Waldorf, MD; Towson, MD; Pikesville, MD; Pasadena, MD; Nottingham, MD; Lexington Park, MD; La Plata, 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

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

Practitioners & affiliated clinicians

Practitioners 544

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 544

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1902175870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122359",
            "telephone_number": "443-777-6890",
            "fax_number": "410-433-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122359",
            "telephone_number": "443-777-6890",
            "fax_number": "410-433-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "410-933-3017",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStar PromptCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.