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GASTRO CENTER OF MARYLAND LLC
NPI 1164609111
Internal Medicine - Gastroenterology in Columbia, MD

Active since January 22, 2008CLIA 21D2009557 · Accreditation
7120 MINSTREL WAY, SUITE 100, COLUMBIA, MD 21045(410) 290-6677 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, Jun 12, 2025 (2 updates tracked since 2025).

About Gastro Center Of Maryland Llc NPPES

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

GASTRO CENTER OF MARYLAND LLC (NPI 1164609111), doing business as Midatlantic Center For Digestive & Liver Dis, is a healthcare organization registered as a gastroenterology in Columbia, Maryland and active in the NPI registry since January 2008. The organization holds an CLIA Accreditation certificate valid through January 26, 2027 and lists Rudra Rai, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1164609111
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTRO CENTER OF MARYLAND LLC
Location Address7120 MINSTREL WAY, SUITE 100Columbia, MD 21045-5248
Mailing Address7120 Minstrel Way Ste 100Columbia, MD 21045-5274 · (410) 290-6677 · Fax (410) 290-6676
Phone(410) 290-6677
Organization SubpartNo
Authorized OfficialRudra RaiOwner/ President · (410) 290-6677
Enumeration DateJanuary 22, 2008
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1164609111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MD · D0044427
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
7120 MINSTREL WAY, Columbia, MD 21045
Open in Google Maps ↗

Other Names 1

Former Legal Business NameMidatlantic Center For Digestive & Liver Dis

Other Identifiers 1

Medicaid282701800MD

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 21D2009557

Gastro Center Of Maryland, LLC · Columbia, MD
Active · expires Jan 26, 2027
CLIA Number21D2009557
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorDr. Michael Ballo
Laboratory Phone(410) 290-6677
Laboratory LocationGastro Center Of Maryland, LLC7120 Minstrel Way, Suite 204, Columbia, MD 21045
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.

Other Providers at the Same Location NPPES 20

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

GLADYS TOMBISE EKEMA MOSASO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
7120 MINSTREL WAY, SUITE 203
COLUMBIA, MD 21045
Howard County (508) 979-5557
DR. ABDUL SHAHEED SOUDAN MD
Pain Medicine (Interventional Pain Medicine)
7120 MINSTREL WAY, STE 106
COLUMBIA, MD 21045
Howard County (410) 290-9191
MIRIAM M. LOVE, LCSW-C, P.A.
Social Worker (Clinical)
7120 MINSTREL WAY, SUITE 203
COLUMBIA, MD 21045
Howard County (410) 404-3817
PATRICK TONG M.D., PH.D.
Ophthalmology
7120 MINSTREL WAY, SUITE 110
COLUMBIA, MD 21045
Howard County (410) 309-3399
DR. CLEMENT S. K. BANDA M.D.
Dermatology
7120 MINSTREL WAY, SUITE 103
COLUMBIA, MD 21045
Howard County (443) 283-0600
MEDITECH
Durable Medical Equipment & Medical Supplies
7120 MINSTREL WAY, SUITE #106
COLUMBIA, MD 21045
Howard County (410) 290-9191
MRS. CATHERINE KEEFER LEE
Counselor (Mental Health)
7120 MINSTREL WAY, SUITE 203
COLUMBIA, MD 21045
Howard County (410) 615-5311
MRS. THERESE B GARROWAY L.C.P.C.
Marriage & Family Therapist
7120 MINSTREL WAY, SUITE 203
COLUMBIA, MD 21045
Howard County (410) 227-6583

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 Gastro Center Of Maryland LLC's NPI number?

The NPI number for Gastro Center Of Maryland LLC is 1164609111. It was assigned to this organization in the NPPES registry on January 22, 2008. The provider was formerly known as MidAtlantic Center for Digestive & Liver Dis.

Where is Gastro Center Of Maryland LLC located?

Gastro Center Of Maryland LLC is located at 7120 Minstrel Way Suite 100, Columbia, MD 21045. The listed phone number is (410) 290-6677.

What is Gastro Center Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Gastro Center Of Maryland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 21D2009557) is associated with this NPI, valid through January 26, 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 Gastro Center Of Maryland LLC was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.