OrganizationActive
Privia Medical Group, LLC
NPI 1124834205 · Family Medicine Physician · Glenn Dale, MD
Provider details
- NPI number
- 1124834205
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Gabbai, Enrollment Manager(484) 569-9066
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
12150 Annapolis Rd Ste 212
Glenn Dale, MD 20769-9183
Phone: (301) 337-2004
Street-level locationGet directions
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.