Premier Medical Group of Maryland LLC
NPI 1023791605 · Primary Care Clinic/Center · Columbia, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Medical Group of Maryland LLC is a Primary Care Clinic/Center organization in Columbia, MD (NPI 1023791605).
Provider details
- NPI number
- 1023791605
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Fakorede, MD(410) 709-7432
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-09
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Premier Medical Group of Maryland LLC's NPI number?
- Premier Medical Group of Maryland LLC's National Provider Identifier (NPI) is 1023791605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Medical Group of Maryland LLC?
- Premier Medical Group of Maryland LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premier Medical Group of Maryland LLC located?
- Premier Medical Group of Maryland LLC's practice location on file with NPPES is 10705 Charter Dr Ste 350, Columbia, MD 21044-2995.
- What is Premier Medical Group of Maryland LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Medical Group of Maryland LLC is (410) 709-7432.
- Does Premier Medical Group of Maryland LLC accept Medicare?
- Premier Medical Group of Maryland LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Medical Group of Maryland LLC?
- The authorized official listed on Premier Medical Group of Maryland LLC's NPPES record is Mary Fakorede, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Medical Group of Maryland LLC's NPI active?
- Yes — Premier Medical Group of Maryland LLC's NPI (1023791605) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.