IMMACULATE MEDICAL SERVICES LLC
NPI 1821301904
Clinic/Center - Primary Care in Washington, DC
NPI Status: Active since July 19, 2010
Contact Information
106 IRVING ST NW
SUITE 308 SOUTH
WASHINGTON, DC
ZIP 20010
Phone: (202) 877-0400
Fax: (202) 877-0584
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 09D2033464
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2025
About IMMACULATE MEDICAL SERVICES LLC
This page provides the complete NPI Profile along with additional information for Immaculate Medical Services Llc, a primary care provider established in Washington, District Of Columbia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1821301904 assigned on July 2010. The practitioner's primary taxonomy code is 261QP2300X with license number MD22148 (DC). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Ann Marie Gordon Md (Ceo)
- NPI
- 1821301904
- Provider Name
- IMMACULATE MEDICAL SERVICES LLC
- Entity Type
- Organization
- Location Address
- 106 IRVING ST NW SUITE 308 SOUTH WASHINGTON, DC 20010
- Location Phone
- (202) 877-0400
- Location Fax
- (202) 877-0584
- Mailing Address
- 2016 GATEWOOD PL SILVER SPRING, MD 20903
- Mailing Phone
- (301) 257-5033
- Mailing Fax
- (202) 877-0584
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2010
- Last Update Date
- 02-15-2011
- Code Navigator
A primary care provider (PCP) like Immaculate Medical Services Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD22148
- License State
- DC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | MD22148 (DC) |
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.
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 |
|---|---|---|---|
| 491173 | MEDICARE PIN (08) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 09D2033464
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2023
- Certificate Expiration Date
- December 01, 2025
- Laboratory Director
- DR. ANN MARIE GORDON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Immaculate Medical Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for IMMACULATE MEDICAL SERVICES LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 8 | 2 | 1 | 3 | 0 | 1 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 6 | 0 | 2 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 6 + 0 + 2 + 9 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1821301904 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083611883 | DR. MARTIN P KOLSKY M.D. Individual | Ophthalmology | 106 IRVING ST NW SUITE 321 WASHINGTON, DC 20010 (202) 882-0200 |
| 1154315653 | ENRIQUE ANTOLIN ROBLES MD Individual | Internal Medicine | 106 IRVING ST NW SUITE 421-SOUTH WASHINGTON, DC 20010 (202) 723-6599 |
| 1275528234 | HERMAN GIST M.D. Individual | Internal Medicine (Cardiovascular Disease) | 106 IRVING ST NW SUITE 1500 NORTH TOWER WASHINGTON, DC 20010 (202) 829-2834 |
| 1043205701 | MARGARET L MONTGOMERY CNM Individual | Midwife | 106 IRVING ST NW SUITE 4700 NORTH WASHINGTON, DC 20010 (202) 877-7479 |
| 1841286689 | JAY ALAN OCUIN MD Individual | Internal Medicine (Nephrology) | 106 IRVING ST NW STE 418 WASHINGTON, DC 20010 (202) 882-2500 |
| 1427048941 | PAUL H SUGARBAKER MD Individual | Surgery (Surgical Oncology) | 106 IRVING ST NW SUITE N-3900 WASHINGTON, DC 20010 (202) 877-3908 |
| 1144210667 | MARK A STEVES MD Individual | Surgery (Surgical Oncology) | 106 IRVING ST NW SUITE N-3900 WASHINGTON, DC 20010 (202) 877-3912 |
| 1205826450 | DUPONT III PC Organization | Internal Medicine (Nephrology) | 106 IRVING ST NW SUITE 418 WASHINGTON, DC 20010 (202) 882-2500 |
| 1629053848 | ERIC ANTWI-DONKOR MD Individual | Internal Medicine (Nephrology) | 106 IRVING ST NW SUITE 418 WASHINGTON, DC 20010 (202) 882-2500 |
| 1376528026 | JAVAD KHALILZADEH MD Individual | Internal Medicine (Gastroenterology) | 106 IRVING ST NW SUITE 2000 WASHINGTON, DC 20010 (202) 288-7777 |
| 1104803329 | ELLEN MARIE WHITAKER M.D. Individual | Specialist | 106 IRVING ST NW SUITE 4400 NORTH WASHINGTON, DC 20010 (202) 877-6935 |
| 1053391136 | DR. MARIE DRAOUI MD Individual | Obstetrics & Gynecology | 106 IRVING ST NW SUITE 4400 NORTH WASHINGTON, DC 20010 (202) 877-6933 |
| 1750361689 | DR. PAUL RAYMOND GIEGERICH D.P.M. Individual | Podiatrist | 106 IRVING ST NW SUITE 402 WASHINGTON, DC 20010 (202) 726-1800 |
| 1609856970 | DR. JAMES PAUL GIROLAMI D.P.M. Individual | Podiatrist | 106 IRVING ST NW SUITE 402 WASHINGTON, DC 20010 (202) 726-1800 |
| 1609846724 | DR. FITZGERALD BIRMINGHAM MD Individual | Internal Medicine | 106 IRVING ST NW 4200 WASHINGTON, DC 20010 (202) 877-5801 |
| 1538130745 | DR. MARY C MELANCON MD Individual | Obstetrics & Gynecology | 106 IRVING ST NW WASHINGTON, DC 20010 (202) 877-7000 |
| 1326019589 | DR. OSCAR MIMS MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 106 IRVING ST NW SUITE 3800N WASHINGTON, DC 20010 (202) 877-6093 |
| 1578535951 | DR. SCOTT MUANGMAN MD Individual | Obstetrics & Gynecology | 106 IRVING ST NW SUITE 4400 NORTH WASHINGTON, DC 20010 (202) 877-6933 |
| 1407828536 | SURGICAL ONCOLOGY ASSOCIATES PC Organization | Surgery (Surgical Oncology) | 106 IRVING ST NW SUITE N-3900 WASHINGTON, DC 20010 (202) 877-3912 |
| 1598739724 | DR. KRISHNA N DASS M.D Individual | Internal Medicine (Infectious Disease) | 106 IRVING ST NW SUITE NUMBER 208 WASHINGTON, DC 20010 (202) 291-4101 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821301904, enumerated in the NPI registry as an "organization" on July 19, 2010
The provider is located at 106 Irving St Nw Suite 308 South Washington, Dc 20010 and the phone number is (202) 877-0400
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
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.
The provider's CLIA number is 09D2033464 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 19, 2010. 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.