Maryland Primary Care Clinic LLC
NPI 1417717539 · Family Medicine Physician · Baltimore, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryland Primary Care Clinic LLC is a Family Medicine Physician organization in Baltimore, MD (NPI 1417717539).
Provider details
- NPI number
- 1417717539
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lata Pradhan, NP(352) 745-4398
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
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
- 2024-03-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Maryland Primary Care Clinic LLC's NPI number?
- Maryland Primary Care Clinic LLC's National Provider Identifier (NPI) is 1417717539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryland Primary Care Clinic LLC?
- Maryland Primary Care Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Maryland Primary Care Clinic LLC located?
- Maryland Primary Care Clinic LLC's practice location on file with NPPES is 8114 Sandpiper Cir Ste 202, Baltimore, MD 21236-5902.
- What is Maryland Primary Care Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Maryland Primary Care Clinic LLC is (352) 745-4398.
- Does Maryland Primary Care Clinic LLC accept Medicare?
- Maryland Primary Care 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 Maryland Primary Care Clinic LLC?
- The authorized official listed on Maryland Primary Care Clinic LLC's NPPES record is Lata Pradhan, NP. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryland Primary Care Clinic LLC's NPI active?
- Yes — Maryland Primary Care Clinic LLC's NPI (1417717539) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.