UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1124873484
Family Medicine in Cambridge, MD

Active since April 20, 2024CLIA 21D0220291 · Waiver
2 AURORA ST, CAMBRIDGE, MD 21613(410) 820-0560 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1124873484) is a healthcare organization registered as a family medicine in Cambridge, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1124873484
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address2 AURORA STCambridge, MD 21613-1912
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateApril 20, 2024
NPPES CertifiedApril 20, 2024
NPI 1124873484 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.
2 AURORA ST, Cambridge, MD 21613

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

Accepted Insurance

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 Waiver 21D0220291

University Of Maryland Community Medical Group Ped · Cambridge, MD
Active · expires Aug 31, 2026
CLIA Number21D0220291
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAhmed A. Gawad MD
Laboratory Phone(443) 225-7619
Laboratory LocationUniversity Of Maryland Community Medical Group Ped713 Cambridge Market Place Blvd #2-500, Cambridge, MD 21613
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
2 AURORA ST
CAMBRIDGE, MD 21613

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 1124873484. It was assigned to this organization in the NPPES registry on April 20, 2024.

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

University Of Maryland Community Medical Group, Inc. is located at 2 Aurora St, Cambridge, MD 21613. The listed phone number is (410) 820-0560.

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 of Waiver (number 21D0220291) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Maryland Community Medical Group, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Community Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on April 20, 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.