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CALVERTHEALTH MEDICAL GROUP, LLC
NPI 1013754944
Internal Medicine - Hematology & Oncology in Prince Frederick, MD

Active since July 09, 2024CLIA 21D2250072 · Waiver
110 HOSPITAL RD STE 112, PRINCE FREDERICK, MD 20678(410) 414-9116(410) 414-9118 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calverthealth Medical Group, Llc NPPES

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

CALVERTHEALTH MEDICAL GROUP, LLC (NPI 1013754944) is a healthcare organization registered as a hematology & oncology in Prince Frederick, Maryland and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Carolyn Heithaus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013754944
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCALVERTHEALTH MEDICAL GROUP, LLC
Location Address110 HOSPITAL RD STE 112Prince Frederick, MD 20678-4039
Mailing Address100 Hospital RdPrince Frederick, MD 20678-4017 · (410) 414-4791 · Fax (410) 535-8417
Phone(410) 414-9116
Fax(410) 414-9118
Organization SubpartYesParent: Calvert Health System, Inc.
Authorized OfficialCarolyn HeithausCfo · (410) 535-8236
Enumeration DateJuly 9, 2024
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1013754944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
110 HOSPITAL RD STE 112, Prince Frederick, MD 20678
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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

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 21D2250072

Calverthealth Medical Group · Prince Frederick, MD
Active · expires Jan 24, 2028
CLIA Number21D2250072
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorJohn L. Cooper
Laboratory Phone(410) 535-8359
Laboratory LocationCalverthealth Medical Group110 Hospital Road Suite 210, Prince Frederick, MD 20678
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Calverthealth Medical Group, LLC's NPI number?

The NPI number for Calverthealth Medical Group, LLC is 1013754944. It was assigned to this organization in the NPPES registry on July 9, 2024.

Where is Calverthealth Medical Group, LLC located?

Calverthealth Medical Group, LLC is located at 110 Hospital Rd Ste 112, Prince Frederick, MD 20678. The listed phone number is (410) 414-9116.

What is Calverthealth Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Calverthealth Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2250072) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Calverthealth Medical Group, LLC was last updated on July 10, 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.