CALVERTHEALTH MEDICAL GROUP, LLC
NPI 1104663970
Family Medicine in Prince Frederick, MD
About Calverthealth Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALVERTHEALTH MEDICAL GROUP, LLC (NPI 1104663970) is a healthcare organization registered as a family medicine in Prince Frederick, Maryland and active in the NPI registry since July 2024. The organization lists Carolyn Heithaus, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Calverthealth Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
56Medicare enrollment records show 56 clinicians reassign Medicare billing to Calverthealth Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 38 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 56Source: 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 Calverthealth Medical Group, LLC's NPI number?
The NPI number for Calverthealth Medical Group, LLC is 1104663970. It was assigned to this organization in the NPPES registry on July 10, 2024.
Where is Calverthealth Medical Group, LLC located?
Calverthealth Medical Group, LLC is located at 625 Solomons Island Rd N, Prince Frederick, MD 20678. The listed phone number is (410) 414-2788.
What is Calverthealth Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Calverthealth Medical Group, LLC enrolled in Medicare?
Yes. Calverthealth Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Calverthealth Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 14 Medicare specialties reassign their Medicare billing to Calverthealth Medical 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. The largest specialties are Nurse Practitioner (17), Obstetrics/Gynecology (13) and Family Practice (5). Of these, 38 practice 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 Calverthealth Medical Group, LLC was last updated on July 10, 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.
# Calverthealth Medical Group, Llc · NPI 1104663970
Family Medicine organization in Prince Frederick, Maryland. Organization record, active in the CMS NPPES registry since July 10, 2024.
## Identity
- **NPI:** 1104663970 (Entity type: Organization)
- **Enumerated:** July 10, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Calvert Health System, Inc.)
- **Authorized official:** Carolyn Heithaus, CFO
## Practice location
- **Address:** 625 SOLOMONS ISLAND RD N, Prince Frederick, MD 20678-3915
- **Phone:** (410) 414-2788 · **Fax:** (410) 535-8795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 56 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Obstetrics/Gynecology (13), Family Practice (5); 38 practice within 10 miles; [full list](https://npiprofile.com/npi/1104663970/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104663970) · Data from the CMS NPPES public registry.