MARYLAND GROUP FACULTY PRACTICE LLC
NPI 1104036300
Community/Behavioral Health in Baltimore, MD

Active since May 23, 2007
419 W REDWOOD ST, SUITE 570, BALTIMORE, MD 21201(410) 328-6106(410) 328-1130 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maryland Group Faculty Practice Llc NPPES

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

MARYLAND GROUP FACULTY PRACTICE LLC (NPI 1104036300) is a healthcare organization registered as a community/behavioral health in Baltimore, Maryland and active in the NPI registry since May 2007. The organization lists Michele James, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104036300
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMARYLAND GROUP FACULTY PRACTICE LLC
Location Address419 W REDWOOD ST, SUITE 570Baltimore, MD 21201-1734
Mailing Address419 W Redwood St, Suite 570Baltimore, MD 21201-1734 · (410) 328-6106 · Fax (410) 328-1130
Fax(410) 328-1130
Organization SubpartNo
Authorized OfficialMichele JamesOffice Manager · (410) 598-8700
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1104036300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
419 W REDWOOD ST, Baltimore, MD 21201

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Maryland Group Faculty Practice LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Clinical Social Worker
NPI 1083904478
419 W REDWOOD ST STE 570
Baltimore, MD 21201
(410) 328-6106
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1932257326
419 W REDWOOD ST SUITE 570
Baltimore, MD 21201
(410) 328-6106
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1619104742
419 W REDWOOD ST SUITE 570
Baltimore, MD 21201
(410) 328-6106
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1669676177
630 W FAYETTE ST FOURTH FLOOR
Baltimore, MD 21201
(410) 328-2564
✔ PECOS0.3 mi
Clinical Social Worker
NPI 1720097132
630 W FAYETTE ST
Baltimore, MD 21201
(410) 328-2207
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1922017979
611 S CHARLES ST FL 4
Baltimore, MD 21230
(410) 328-2293
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1316043185
2 HAMILL RD SUITE 127
Baltimore, MD 21210
(410) 464-9005
✔ PECOS✔ Accepts Medicare4.6 mi
Clinical Social Worker
NPI 1083044309
2 HAMILL RD SUITE #359
Baltimore, MD 21210
(410) 627-4013
✔ PECOS✔ Accepts Medicare4.6 mi
Clinical Social Worker
NPI 1619094729
6 ESSEX CENTER DR SUITE 107
Peabody, MA 01960
(978) 532-7588
✔ PECOS✔ Accepts Medicare372 mi

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 Group Faculty Practice LLC's NPI number?

The NPI number for Maryland Group Faculty Practice LLC is 1104036300. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Maryland Group Faculty Practice LLC located?

Maryland Group Faculty Practice LLC is located at 419 W Redwood St Suite 570, Baltimore, MD 21201. The listed phone number is (410) 328-6106.

What is Maryland Group Faculty Practice LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Maryland Group Faculty Practice LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Maryland Group Faculty Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Maryland Group Faculty Practice 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. Of these, 3 practice at this address and 8 within 10 miles. 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 Group Faculty Practice LLC was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.