Organization Active NPI

Metropolitan Access Center LLC

  • Specialist
  • Colmar Manor, MD
National Provider Identifier
1982893483
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
METROPOLITAN ACCESS CENTER LLC
Practice address
4155 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone
(847) 388-2058
Fax
(866) 720-9740
NPI assigned
Oct 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Faris Hakki, MDNPI 1437168325
Title
Medical Director/Physician
Phone
(202) 877-5007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4155 Bladensburg Rd
Colmar Manor, MD 20722-1928

Mailing address

4155 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone (847) 388-2058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000440 DC Part B Supplier - Clinic/Group Practice 6103903679 Receives reassigned benefits from 3 practitioners
Practice locations: Colmar Manor, MD

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
21D1083424Metropolitan Access Center4155 Bladensburg Road, Colmar Manor, MD 20722Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

4155 Bladensburg Rd
Colmar Manor, MD 20722
Phone (301) 277-1545

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1982893483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 BLADENSBURG RD",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207221928",
            "telephone_number": "847-388-2058",
            "fax_number": "866-720-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 BLADENSBURG RD",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207221928",
            "telephone_number": "847-388-2058",
            "fax_number": "866-720-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ACCESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-20",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HAKKI",
        "authorized_official_first_name": "FARIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "202-877-5007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colmar Manor, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.