Life Line Corporation -4 LLC
NPI 1639821648 · Internal Medicine Physician · Westminster, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Line Corporation -4 LLC is a Internal Medicine Physician organization in Westminster, MD (NPI 1639821648).
Provider details
- NPI number
- 1639821648
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kamal Bangoria, President(443) 255-3951
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 2111 Hanover PikeHampstead, MD 21074-1319Phone: (410) 239-7073
- 295 Stoner Ave Ste 106Westminster, MD 21157-5663Phone: (443) 255-3951
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Life Line Corporation -4 LLC's NPI number?
- Life Line Corporation -4 LLC's National Provider Identifier (NPI) is 1639821648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Line Corporation -4 LLC?
- Life Line Corporation -4 LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Life Line Corporation -4 LLC located?
- Life Line Corporation -4 LLC's practice location on file with NPPES is 349 Malcolm Dr, Westminster, MD 21157-6106.
- What is Life Line Corporation -4 LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Line Corporation -4 LLC is (410) 848-2566.
- Does Life Line Corporation -4 LLC accept Medicare?
- Life Line Corporation -4 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 Life Line Corporation -4 LLC?
- The authorized official listed on Life Line Corporation -4 LLC's NPPES record is Kamal Bangoria, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Line Corporation -4 LLC's NPI active?
- Yes — Life Line Corporation -4 LLC's NPI (1639821648) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.