MARYLAND PHYSICIANS EDGE LLC
NPI 1053265074
Obstetrics & Gynecology in Beltsville, MD

Q: What is Maryland Physicians Edge LLC's NPI number?

The NPI number for Maryland Physicians Edge LLC is 1053265074. It was assigned to this organization in the NPPES registry on February 25, 2026.

Q: What is Maryland Physicians Edge LLC's specialty?

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

Active since February 25, 2026CLIA 21D2260478 · Accreditation

12240 INDIAN CREEK CT STE 130A, BELTSVILLE, MD 20705(301) 681-6772 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maryland Physicians Edge Llc NPPES

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

MARYLAND PHYSICIANS EDGE LLC (NPI 1053265074) is a healthcare organization registered as an obstetrics & gynecology in Beltsville, Maryland and active in the NPI registry since February 2026. The organization holds an CLIA Accreditation certificate valid through October 7, 2027 and lists Tracey M Moran, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1053265074

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameMARYLAND PHYSICIANS EDGE LLC

Location Address12240 INDIAN CREEK CT STE 130ABeltsville, MD 20705-1242

Mailing AddressPo Box 14079Belfast, ME 04915-4031

Phone(301) 681-6772

Organization SubpartNo

Authorized OfficialTracey M MoranPractice Manager · (301) 681-6772

Enumeration DateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1053265074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

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 ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedMidwifeTaxonomy 176B00000X

Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

12240 INDIAN CREEK CT STE 130A, Beltsville, MD 20705

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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 Accreditation 21D2260478

Maryland Physicians Edge LLC · Beltsville, MD

Active · expires Oct 7, 2027

CLIA Number21D2260478

Laboratory TypePhysician Office

Certificate Effective DateOctober 8, 2025

Certificate Expiration DateOctober 7, 2027

Laboratory DirectorDr. Zahidur Abedin

Laboratory Phone(301) 681-6772

Laboratory LocationMaryland Physicians Edge LLC12240 Indian Creek Ct Suite 130, Beltsville, MD 20705

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Physicians Edge LLC's NPI number?

The NPI number for Maryland Physicians Edge LLC is 1053265074. It was assigned to this organization in the NPPES registry on February 25, 2026.

Where is Maryland Physicians Edge LLC located?

Maryland Physicians Edge LLC is located at 12240 Indian Creek Ct Ste 130A, Beltsville, MD 20705. The listed phone number is (301) 681-6772.

What is Maryland Physicians Edge LLC's specialty?

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

Does Maryland Physicians Edge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D2260478) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Physicians Edge LLC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.