MARYLAND SPECIALTY GROUP LLC
NPI 1023157781
Obstetrics & Gynecology in Glenn Dale, MD

Q: What is Maryland Specialty Group LLC's NPI number?

The NPI number for Maryland Specialty Group LLC is 1023157781. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider was formerly known as Ultima Care LLC.

Q: What is Maryland Specialty Group LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since February 06, 2007

12200 ANNAPOLIS RD, SUITE# 123, GLENN DALE, MD 20769(301) 552-9495(301) 552-9743 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Maryland Specialty Group Llc NPPES

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

MARYLAND SPECIALTY GROUP LLC (NPI 1023157781), doing business as Ultima Care Llc, is a healthcare organization registered as an obstetrics & gynecology in Glenn Dale, Maryland and active in the NPI registry since February 2007. The organization lists Naomi A Nwagwe, Billing/business Manager, as its authorized official.

NPPES Registry Identity

NPI1023157781

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameMARYLAND SPECIALTY GROUP LLC

Location Address12200 ANNAPOLIS RD, SUITE# 123Glenn Dale, MD 20769-9182

Mailing Address12200 Annapolis Rd, Suite# 123Glenn Dale, MD 20769-9182 · (301) 552-9495 · Fax (301) 552-9743

Phone(301) 552-9495

Fax(301) 552-9743

Organization SubpartNo

Authorized OfficialNaomi A NwagweBilling/business Manager · (301) 552-9495

Enumeration DateFebruary 6, 2007

Last NPPES UpdateApril 10, 2013

✔ NPI 1023157781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MD · D0040683

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedInternal MedicineTaxonomy 207R00000X · License D0040683 (MD)

12200 ANNAPOLIS RD, Glenn Dale, MD 20769

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Other Names 1

Former Legal Business NameUltima Care Llc

Other Identifiers 1

OtherG01686DC · Ptan

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryland Specialty Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maryland Specialty Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kwasi Debra, MD

Obstetrics/Gynecology

NPI 1972512408

12200 ANNAPOLIS RD STE 123
Glenn Dale, MD 20769

(301) 552-9495

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maryland Specialty Group LLC's NPI number?

The NPI number for Maryland Specialty Group LLC is 1023157781. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider was formerly known as Ultima Care LLC.

Where is Maryland Specialty Group LLC located?

Maryland Specialty Group LLC is located at 12200 Annapolis Rd Suite# 123, Glenn Dale, MD 20769. The listed phone number is (301) 552-9495.

What is Maryland Specialty Group LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Maryland Specialty Group LLC enrolled in Medicare?

Yes. Maryland Specialty Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryland Specialty Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Maryland Specialty Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maryland Specialty Group LLC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.