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SOUTHERN MARYLAND MEDICAL GROUP LLC
NPI 1215747563
Internal Medicine in Riverdale, MD

Active since January 09, 2025CLIA Certified · 2 labs
6510 KENILWORTH AVE STE 1400, RIVERDALE, MD 20737(301) 618-0771 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Maryland Medical Group Llc NPPES

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

SOUTHERN MARYLAND MEDICAL GROUP LLC (NPI 1215747563) is a healthcare organization registered as an internal medicine in Riverdale, Maryland and active in the NPI registry since January 2025. The organization holds 2 active CLIA laboratory certificates and lists Girish Sadashiva Rao, Partner, as its authorized official.

NPPES Registry Identity

NPI1215747563
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN MARYLAND MEDICAL GROUP LLC
Location Address6510 KENILWORTH AVE STE 1400Riverdale, MD 20737-1339
Mailing Address7500 Greenway Center Dr Ste 1200Greenbelt, MD 20770-3556 · (301) 486-7580 · Fax (301) 486-7581
Phone(301) 618-0771
Organization SubpartYes
Authorized OfficialGirish Sadashiva RaoPartner · (301) 452-7945
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1215747563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6510 KENILWORTH AVE STE 1400, Riverdale, MD 20737
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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 2

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 21D2114280

Southern Maryland Medical Group · Greenbelt, MD
Active · expires Jun 9, 2028
CLIA Number21D2114280
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorCecil D. George
Laboratory Phone(301) 486-7580
Laboratory LocationSouthern Maryland Medical Group7500 Greenway Center Drive 12th Floor, Greenbelt, MD 20770
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2214692

Southern Maryland Medical Group · Riverdale, MD
Active · expires Feb 23, 2027
CLIA Number21D2214692
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDr. Michael J. Berard
Laboratory Phone(301) 618-0771
Laboratory LocationSouthern Maryland Medical Group6510 Kenilworth Avenue #1400, Riverdale, MD 20737
CLIA data matches this NPI record on: Name Phone
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.

DR. FREDISIA CLAVENDA FRANCIS-ATTIPOE M.D.
Family Medicine
6510 KENILWORTH AVE STE 1400
RIVERDALE, MD 20737
Prince George's County (301) 486-7850

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 Southern Maryland Medical Group LLC's NPI number?

The NPI number for Southern Maryland Medical Group LLC is 1215747563. It was assigned to this organization in the NPPES registry on January 9, 2025.

Where is Southern Maryland Medical Group LLC located?

Southern Maryland Medical Group LLC is located at 6510 Kenilworth Ave Ste 1400, Riverdale, MD 20737. The listed phone number is (301) 618-0771.

What is Southern Maryland Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Southern Maryland Medical Group LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southern Maryland Medical Group LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.