OrganizationActive
Elite Multi Specialty Clinic, LLC
NPI 1053758235 · Primary Care Clinic/Center · Silver Spring, MD
Provider details
- NPI number
- 1053758235
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Adaora Noummy, President/Owner(301) 604-4033
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655
Phone: (301) 604-4033
Fax: (240) 645-4013
Street-level locationGet directions
Mailing address
12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655
Registry dates
- Enumerated
- 2013-05-29
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.