ICON MEDICINE – NPI #1477269447
Clinic/Center

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ICON MEDICINE is an AHC clinic located in HYATTSVILLE, MD. NPPES has assigned the NPI number 1477269447 to ICON MEDICINE on January 24, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Feb 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ICON MEDICINE below.

NPI Profile for
ICON MEDICINE

NPI Number

1477269447

Enumeration Date

Jan 24, 2023
(more than 3 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

ICON MEDICINE

Primary location

7411 RIGGS RD STE 300B
HYATTSVILLE, MD 20783-4246

Phone: (240) 966-4266 Fax: (301) 235-1771

Mailing address

10770 COLUMBIA PIKE STE 300-1021
SILVER SPRING, MD 20901-4402

Phone: (240) 966-4266 Fax: (301) 235-1771

Organization Subpart

Authorized Official

TIMOTHY ONSERIO
CLINICAL DIRECTOR
Phone: (240) 966-4266

Updated

Feb 24, 2025

Certification Date

Feb 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ICON MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

Description	Issuer	State	Identifier
other	APRN LICENSE	FL	APRN11022989
other	APRN LICENSE	VA	0024189089
other	CRNP LICENSE	MD	R189170
other	DRIVERS LICENSE	MD	O-526793646572

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QM1300X - Clinic/Center / Multi-Specialty (Primary)
261QU0200X - Clinic/Center / Urgent Care
261QP2300X - Clinic/Center / Primary Care
207Q00000X - Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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