MEDICARE: CAPITAL CARE CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1144011966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL CARE CLINIC LLC

Provider Business Mailing Address
First Line	:	PO BOX 644
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20703-0644
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1895 BRIGHTSEAT RD
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4250
Country	:	US
Telephone Number	:	301-909-4000
Fax Number	:	301-909-4001

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MERCY OBAMOGIE
Credential	:	MD
Telephone Number	:	301-909-4000

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	06/06/2026

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Directions to “CAPITAL CARE CLINIC LLC ” Practice Location

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