Lifebridge Primary Care of Eldersburg, LLC
NPI 1720404015ActiveOrganization· Internal Medicine· Sykesville, MD
Internal Medicine in Sykesville, Maryland, registered in NPPES in March 2014. The authorized official on file is Mary Wright-Sisk, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720404015 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2014 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | 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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