OUTREACH MD LLC
NPI 1235584384
Clinic/Center in Bowie, MD

NPI Status: Active since April 26, 2016

Contact Information

4201 NORTHVIEW DR
SUITE 501
BOWIE, MD
ZIP 20716
Phone: (410) 220-1111

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  • Organization
  • Clinic/Center

About OUTREACH MD LLC

This page provides the complete NPI Profile along with additional information for Outreach Md Llc, a provider established in Bowie, Maryland operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1235584384 assigned on April 2016. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Ehsan Abdeshahian M.d. (Medical Director)

NPI
1235584384
Provider Name
OUTREACH MD LLC
Entity Type
Organization
Location Address
4201 NORTHVIEW DR SUITE 501 BOWIE, MD 20716
Location Phone
(410) 220-1111
Mailing Address
2124 4TH AVE S BIRMINGHAM, AL 35233
Mailing Phone
(205) 279-8981
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2016
Last Update Date
08-18-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. EHSAN ABDESHAHIAN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(405) 306-0384

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0714704MEDICAID (05)MD 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235584384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651088316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 8 + 8 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1235584384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689979171BAY AREA ORTHOPAEDICS & SPORTS MEDICINE
Organization
Specialist4201 NORTHVIEW DR SUITE 101
BOWIE, MD 20716
(301) 262-6066
1407199334ANNAPOLIS HAND CENTER LLC
Organization
Orthopaedic Surgery (Hand Surgery)4201 NORTHVIEW DR SUITE 101
BOWIE, MD 20716
(410) 544-4263
1528416476 JACKLINE KIPLAGAT FNP-C
Individual
Nurse Practitioner (Family)4201 NORTHVIEW DR SUITE 410
BOWIE, MD 20716
(202) 681-9661
1639611585INJURYMD 1ST
Organization
Physical Medicine & Rehabilitation4201 NORTHVIEW DR SUITE 501
BOWIE, MD 20716
(410) 220-1111
1992352231 VANESSA OHAKAM
Individual
Nurse Practitioner (Primary Care)4201 NORTHVIEW DR
BOWIE, MD 20716
(202) 681-9661
1083992333MRS. STACEY ANN ELIZABETH SANTIAGO CRNP
Individual
Nurse Practitioner (Family)4201 NORTHVIEW DR STE 525
BOWIE, MD 20716
(256) 508-9034
1083372577 SIDYA MAELEE THOMAS NP
Individual
Nurse Practitioner (Gerontology)4201 NORTHVIEW DR
BOWIE, MD 20716
(202) 729-9889
1982143566CHESAPEAKE OPEN MRI L L C
Organization
Radiology (Diagnostic Radiology)4201 NORTHVIEW DR SUITE 105
BOWIE, MD 20716
(301) 262-8282
1154868461 MEHEZA ADJA-POROKY
Individual
Nurse Practitioner (Family)4201 NORTHVIEW DR SUITE 410
BOWIE, MD 20716
(202) 681-9661
1235869413DR. HOPE JENKINS
Individual
Psychologist4201 NORTHVIEW DR
BOWIE, MD 20716
(240) 206-9413

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235584384, enumerated in the NPI registry as an "organization" on April 26, 2016

The provider is located at 4201 Northview Dr Suite 501 Bowie, Md 20716 and the phone number is (410) 220-1111

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 26, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.