Kingdom Medicine Administrative Services, Inc.
NPI 1164984977ActiveOrganization· Internal Medicine· Owings Mills, MD
Internal Medicine in Owings Mills, Maryland, registered in NPPES in April 2019. The authorized official on file is Leonard Allison Richardson, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164984977 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2019 |
| Last updated in NPPES | Jul 7, 2024 |
| Certified by provider | Jul 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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