Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYNERGY MEDICAL GROUP LLC
NPI 1194683706
Internal Medicine - Nephrology in Manchester, MD

Active since January 13, 2026
3332 MAIN ST, MANCHESTER, MD 21102(410) 239-7139 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Synergy Medical Group Llc NPPES

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

SYNERGY MEDICAL GROUP LLC (NPI 1194683706) is a healthcare organization registered as a nephrology in Manchester, Maryland and active in the NPI registry since January 2026. The organization lists Kamal Salah H Sewaralthahab, Owner, as its authorized official.

NPPES Registry Identity

NPI1194683706
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSYNERGY MEDICAL GROUP LLC
Location Address3332 MAIN STManchester, MD 21102-2175
Mailing Address1205 York Rd Ste 11Timonium, MD 21093-6211
Organization SubpartNo
Authorized OfficialKamal Salah H SewaralthahabOwner · (443) 325-0031
Enumeration DateJanuary 13, 2026
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1194683706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedUrologyTaxonomy 208800000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPodiatristTaxonomy 213E00000X
3332 MAIN ST, Manchester, MD 21102

Other Names 1

Other NameAutumn Lake Long View

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

Other Providers at the Same Location NPPES 11

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

Physical Medicine & Rehabilitation (Pain Medicine)
3332 MAIN ST
MANCHESTER, MD 21102
Optometrist
3332 MAIN ST
MANCHESTER, MD 21102
Skilled Nursing Facility
3332 MAIN ST, POB 390
MANCHESTER, MD 21102
Physical Therapist
3332 MAIN ST
MANCHESTER, MD 21102
Physical Therapist
3332 MAIN ST
MANCHESTER, MD 21102
Occupational Therapist
3332 MAIN ST
MANCHESTER, MD 21102
Skilled Nursing Facility
3332 MAIN ST
MANCHESTER, MD 21102
Skilled Nursing Facility
3332 MAIN ST
MANCHESTER, MD 21102

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 Synergy Medical Group LLC's NPI number?

The NPI number for Synergy Medical Group LLC is 1194683706. It was assigned to this organization in the NPPES registry on January 13, 2026. The provider is also known as Autumn Lake Long View.

Where is Synergy Medical Group LLC located?

Synergy Medical Group LLC is located at 3332 Main St, Manchester, MD 21102. The listed phone number is (410) 239-7139.

What is Synergy Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Synergy Medical Group LLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.