UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1053166512
Family Medicine in Denton, MD

Q: 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.

Active since April 18, 2024CLIA 21D0674533 · Microscopy

1140 BLADES FARM RD STE 101, DENTON, MD 21629(410) 479-5900 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1053166512) is a healthcare organization registered as a family medicine in Denton, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Microscopy certificate valid through December 21, 2026 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1053166512

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Location Address1140 BLADES FARM RD STE 101Denton, MD 21629-3488

Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924

Phone(410) 479-5900

Organization SubpartNo

Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602

Enumeration DateApril 18, 2024

NPPES CertifiedApril 18, 2024

✔ NPI 1053166512 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.

1140 BLADES FARM RD STE 101, Denton, MD 21629

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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 for Provider-Performed Microscopy Procedures (PPMP) 21D0674533

University Of Maryland Community Medical Group · Denton, MD

Active · expires Dec 21, 2026

CLIA Number21D0674533

Laboratory TypePhysician Office

Certificate Effective DateDecember 22, 2024

Certificate Expiration DateDecember 21, 2026

Laboratory DirectorWafik I. Zaki

Laboratory Phone(410) 479-5900

Laboratory LocationUniversity Of Maryland Community Medical Group1140 Blades Farm Road Suite 101, Denton, MD 21629

CLIA data matches this NPI record on: Address Name Phone

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.

Other Providers at the Same Location NPPES 2

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

DR. MEDHA SATYARENGGA M.D.

Internal Medicine

1140 BLADES FARM RD STE 101
DENTON, MD 21629

Caroline County (410) 822-1000

ASHLEY LYNN SCHREPPEL MSN, FNP-BC

Nurse Practitioner (Family)

1140 BLADES FARM RD STE 101
DENTON, MD 21629

Caroline County (410) 479-3510

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 1053166512. It was assigned to this organization in the NPPES registry on April 18, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 1140 Blades Farm Rd Ste 101, Denton, MD 21629. The listed phone number is (410) 479-5900.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0674533) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on April 18, 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.