1. Home
  2. Directory
  3. Maryland
  4. La Plata
  5. Family Medicine
  6. NPI Profile

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1003661372
Family Medicine in La Plata, MD

Active since April 20, 2024CLIA Certified · 3 labs
5 NORTH LA PLATA COURT, SUITE 202, LA PLATA, MD 20646(301) 609-4276 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of Maryland Community Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1003661372) is a healthcare organization registered as a family medicine in La Plata, Maryland and active in the NPI registry since April 2024. The organization holds 3 active CLIA laboratory certificates and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1003661372
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address5 NORTH LA PLATA COURT, SUITE 202La Plata, MD 20646-5208
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(301) 609-4276
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateApril 20, 2024
NPPES CertifiedApril 20, 2024
✔ NPI 1003661372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5 NORTH LA PLATA COURT, La Plata, MD 20646
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2266237

University Of Maryland Community Medical Group · La Plata, MD
Active · expires Aug 8, 2026
CLIA Number21D2266237
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. David A. Levy
Laboratory Phone(301) 609-4866
Laboratory LocationUniversity Of Maryland Community Medical Group5 N La Plata Court #202, La Plata, MD 20646
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D1048657

University Of Maryland Community Medical Group · La Plata, MD
Active · expires Dec 6, 2027
CLIA Number21D1048657
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorVladimir Kakitelashvili
Laboratory Phone(301) 609-4894
Laboratory LocationUniversity Of Maryland Community Medical Group101 Centennial Street Ste E, La Plata, MD 20646
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 21D2330496

University Of Maryland Community Medical Group · La Plata, MD
Active · expires Sep 16, 2027
CLIA Number21D2330496
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorDavid Levy
Laboratory Phone(301) 609-5017
Laboratory LocationUniversity Of Maryland Community Medical Group616 East Charles St, La Plata, MD 20646
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Family Medicine
5 NORTH LA PLATA COURT, SUITE 101
LAPLATA, MD 20646
Charles County (301) 609-5044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1003661372. It was assigned to this organization in the NPPES registry on April 20, 2024.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 5 North La Plata Court Suite 202, La Plata, MD 20646. The listed phone number is (301) 609-4276.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does University Of Maryland Community Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does University Of Maryland Community Medical Group, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Community Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.