Prime MD LLC
NPI 1558540161ActiveOrganization· Internal Medicine· Clarksville, MD
Internal Medicine in Clarksville, Maryland, registered in NPPES in October 2007. The authorized official on file is Suzan Khalil Abdo, MD, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558540161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2007 |
| Last updated in NPPES | Sep 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | D0050878 | MD |
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | D50870 | MD |
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | D046855 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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