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MEDSTAR MEDICAL GROUP II LLC
NPI 1174494363
General Practice in Gaithersburg, MD

Active since September 12, 2025CLIA 21D2066011 · Waiver
12111 DARNESTOWN RD, GAITHERSBURG, MD 20878(301) 926-3095 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medstar Medical Group Ii Llc NPPES

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

MEDSTAR MEDICAL GROUP II LLC (NPI 1174494363) is a healthcare organization registered as a general practice in Gaithersburg, Maryland and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Stephanie Schneider, Vp, as its authorized official.

NPPES Registry Identity

NPI1174494363
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDSTAR MEDICAL GROUP II LLC
Location Address12111 DARNESTOWN RDGaithersburg, MD 20878-3211
Mailing Address3007 Tilden St Nw Ste 5nWashington, DC 20008-3030 · (703) 558-1403
Phone(301) 926-3095
Organization SubpartNo
Authorized OfficialStephanie SchneiderVp · (702) 558-1403
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1174494363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12111 DARNESTOWN RD, Gaithersburg, MD 20878
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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 Waiver 21D2066011

Medstar Medical Group-Gaithersburg · Gaithersburg, MD
Active · expires Sep 18, 2027
CLIA Number21D2066011
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorShikha N. Deva
Laboratory Phone(301) 926-3095
Laboratory LocationMedstar Medical Group-Gaithersburg12111 Darnestown Road, Gaithersburg, MD 20878
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. SHIKHA NIGAM DEVA MD
Family Medicine
12111 DARNESTOWN RD, MEDSTAR MEDICAL GROUP
DARNESTOWN, MD 20878
Montgomery County (301) 926-3095
MEDSTAR URGENT CARE LLC
Clinic/Center (Urgent Care)
12111 DARNESTOWN RD
GAITHERSBURG, MD 20878
Montgomery County (301) 926-3020
MARY COLETTE SUNTUM CRNP
Nurse Practitioner (Family)
12111 DARNESTOWN RD
GAITHERSBURG, MD 20878
Montgomery County (301) 926-3020
DR. ROBERT JASON LEVINE D.O.
Family Medicine
12111 DARNESTOWN RD, MEDSTAR MEDICAL GROUP
GAITHERSBURG, MD 20878
Montgomery County (301) 926-3095
MEDSTAR URGENT CARE LLC
Clinic/Center (Urgent Care)
12111 DARNESTOWN RD
GAITHERSBURG, MD 20878
Montgomery County (301) 926-3020
CATHERINE TIERNEY CRNP
Nurse Practitioner (Family)
12111 DARNESTOWN RD
GAITHERSBURG, MD 20878
Montgomery County (301) 926-3020
DR. DANIEL C GOLD M.D.
Family Medicine
12111 DARNESTOWN RD, SUITE A
GAITHERSBURG, MD 20878
Montgomery County (301) 926-3095

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 Medstar Medical Group II LLC's NPI number?

The NPI number for Medstar Medical Group II LLC is 1174494363. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Medstar Medical Group II LLC located?

Medstar Medical Group II LLC is located at 12111 Darnestown Rd, Gaithersburg, MD 20878. The listed phone number is (301) 926-3095.

What is Medstar Medical Group II LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medstar Medical Group II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2066011) is associated with this NPI, valid through September 18, 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 Medstar Medical Group II LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.