MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1023815065
Urology in Prince Frederick, MD

Active since February 27, 2025
1015 N PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678(410) 535-4116(410) 414-8480 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2025, Feb 27, 2025 (2 updates tracked since 2025).

About Medstar Medical Group - Southern Maryland Llc NPPES

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

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC (NPI 1023815065), doing business as Medstar Shah Medical Group Llc, is a healthcare organization registered as an urology in Prince Frederick, Maryland and active in the NPI registry since February 2025. The organization lists Alan Adair Buster, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1023815065
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Location Address1015 N PRINCE FREDERICK BLVDPrince Frederick, MD 20678-3193
Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900
Fax(410) 414-8480
Organization SubpartNo
Authorized OfficialAlan Adair BusterC.o.o. · (301) 373-7905
Enumeration DateFebruary 27, 2025
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1023815065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1015 N PRINCE FREDERICK BLVD, Prince Frederick, MD 20678

Other Names 1

Doing Business AsMedstar Shah Medical Group Llc

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

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 Medstar Medical Group - Southern Maryland LLC's NPI number?

The NPI number for Medstar Medical Group - Southern Maryland LLC is 1023815065. It was assigned to this organization in the NPPES registry on February 27, 2025. The provider is doing business as MedStar Shah Medical Group LLC.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 1015 N Prince Frederick Blvd, Prince Frederick, MD 20678. The listed phone number is (410) 535-4116.

What is Medstar Medical Group - Southern Maryland LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group - Southern Maryland LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.