Integrated Medicine and Wellness Center, LLC
NPI 1710571880 · Family Medicine Physician · Gambrills, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Medicine and Wellness Center, LLC is a Family Medicine Physician organization in Gambrills, MD (NPI 1710571880).
Provider details
- NPI number
- 1710571880
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Kovach, Owner(410) 697-3566
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 2108r Didonato DrChester, MD 21619-2628Phone: (410) 697-3566Fax: (410) 697-3567
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Frequently asked questions
- What is Integrated Medicine and Wellness Center, LLC's NPI number?
- Integrated Medicine and Wellness Center, LLC's National Provider Identifier (NPI) is 1710571880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Medicine and Wellness Center, LLC?
- Integrated Medicine and Wellness Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Medicine and Wellness Center, LLC located?
- Integrated Medicine and Wellness Center, LLC's practice location on file with NPPES is 959 Annapolis Rd, Gambrills, MD 21054-1028.
- What is Integrated Medicine and Wellness Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Medicine and Wellness Center, LLC is (410) 697-3566.
- Does Integrated Medicine and Wellness Center, LLC accept Medicare?
- Integrated Medicine and Wellness Center, 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 Integrated Medicine and Wellness Center, LLC?
- The authorized official listed on Integrated Medicine and Wellness Center, LLC's NPPES record is Alicia Kovach, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Medicine and Wellness Center, LLC's NPI active?
- Yes — Integrated Medicine and Wellness Center, LLC's NPI (1710571880) is active in the NPPES registry as of the last update on 2024-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.