Pax River Medical Clinic, LLC
NPI 1083807085 · General Practice Physician · Lexington Park, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pax River Medical Clinic, LLC is a General Practice Physician organization in Lexington Park, MD (NPI 1083807085).
Provider details
- NPI number
- 1083807085
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Katherine Martin, Owner(301) 863-8101
- License
- H0055958 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-08-22
- Last updated
- 2014-05-09
Frequently asked questions
- What is Pax River Medical Clinic, LLC's NPI number?
- Pax River Medical Clinic, LLC's National Provider Identifier (NPI) is 1083807085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pax River Medical Clinic, LLC?
- Pax River Medical Clinic, LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Pax River Medical Clinic, LLC located?
- Pax River Medical Clinic, LLC's practice location on file with NPPES is 46940 S Shangri La Dr, Lexington Park, MD 20653-1037.
- What is Pax River Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pax River Medical Clinic, LLC is (301) 863-8101.
- Does Pax River Medical Clinic, LLC accept Medicare?
- Pax River Medical Clinic, 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 Pax River Medical Clinic, LLC?
- The authorized official listed on Pax River Medical Clinic, LLC's NPPES record is Katherine Martin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pax River Medical Clinic, LLC's NPI active?
- Yes — Pax River Medical Clinic, LLC's NPI (1083807085) is active in the NPPES registry as of the last update on 2014-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.