NPIMap

Organization Active NPI

First Call Medical Center LLC

  • Urgent Care Clinic/Center
  • Columbia, MD
National Provider Identifier
1962269845
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FIRST CALL MEDICAL CENTER LLC
Practice address
6250 Old Dobbin LN Ste a
Columbia, MD 21045-5816
Phone
(410) 694-7999
NPI assigned
Mar 6, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTENNIAL MEDICAL GROUP, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Rajiv Dua, MDNPI 1043326945
Title
Medical Director
Phone
(410) 730-3399

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

6250 Old Dobbin LN Ste a
Columbia, MD 21045-5816

Mailing address

6230 Old Dobbin LN Ste 230
Columbia, MD 21045-5884
Phone (410) 730-3399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116000964 MD Part B Supplier - Clinic/Group Practice 5496091290 Receives reassigned benefits from 53 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clarksville, MD; Laurel, MD; Columbia, MD; Ellicott City, MD

Other NPIs on the same Medicare enrollment 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2301010First Call Medical Center6250 Old Dobbin Lane, Columbia, MD 21045AccreditationMar 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
First Call Medical Center LLC4 organizations share this tax ID, including this one
Part of
Centennial Medical Group PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6339 Ten Oaks Rd
Ste 100
Clarksville, MD 21029
Phone (301) 304-3111

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 478-4737

6250 Old Dobbin Ln
Ste A
Columbia, MD 21045
Phone (410) 694-7999

10120 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 694-7999

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1962269845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 OLD DOBBIN LN STE 230",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455884",
            "telephone_number": "410-730-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 OLD DOBBIN LN STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455816",
            "telephone_number": "410-694-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CALL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTENNIAL MEDICAL GROUP, PA",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "DUA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-730-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.