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MEDSTAR MEDICAL GROUP, LLC
NPI 1255608139
Internal Medicine in Washington, DC

Active since November 21, 2011CLIA Certified · 2 labs
2021 K ST NW, SUITE 310, WASHINGTON, DC 20006(202) 429-2401(202) 429-4341 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Medstar Medical Group, Llc NPPES

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

MEDSTAR MEDICAL GROUP, LLC (NPI 1255608139) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since November 2011. The organization holds 2 active CLIA laboratory certificates and lists Eric R. Wagner, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1255608139
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDSTAR MEDICAL GROUP, LLC
Location Address2021 K ST NW, SUITE 310Washington, DC 20006-1003
Mailing Address8094 Sandpiper Cir, Suite OBaltimore, MD 21236-4907 · (410) 933-3017 · Fax (410) 933-3019
Phone(202) 429-2401
Fax(202) 429-4341
Organization SubpartNo
Authorized OfficialEric R. WagnerExecutive Vice President · (410) 772-6595
Enumeration DateNovember 21, 2011
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1255608139 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.
2021 K ST NW, Washington, DC 20006
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN232235DC

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 09D0961874

Medstar Medical Group Primary Care At Lafayette · Washington, DC
Active · expires Jun 17, 2027
CLIA Number09D0961874
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorDr. Bronson E. Delasobera
Laboratory Phone(202) 416-2000
Laboratory LocationMedstar Medical Group Primary Care At Lafayette1133 21st Street NW Bldg 2 6th Floor, Washington, DC 20036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 09D2121771

Medstar Medical Group At Downtown Gastroenterology · Washington, DC
Active · expires Nov 13, 2026
CLIA Number09D2121771
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorDr. James H. Frank
Laboratory Phone(202) 416-2000
Laboratory LocationMedstar Medical Group At Downtown Gastroenterology1133 21st Street NW Ste 600, Washington, DC 20036
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 20

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

DR. STEVEN MACHT MD
Surgery (Plastic and Reconstructive Surgery)
2021 K ST NW, #217
WASHINGTON, DC 20006
District of Columbia (202) 887-8120
ALAN W STONE MD
Internal Medicine
2021 K ST NW, SUITE 404
WASHINGTON, DC 20006
District of Columbia (202) 466-8118
KIMBERLY SUZANNE MOON MD
Obstetrics & Gynecology (Reproductive Endocrinology)
2021 K ST NW, SUITE 701
WASHINGTON, DC 20006
District of Columbia (202) 296-2595
DR. MARC JAY HOLZMAN M.D.
Ophthalmology
2021 K ST NW, SUITE 416
WASHINGTON, DC 20006
District of Columbia (202) 296-1333
SOFT TOUCH DENTISTS PC
Dentist
2021 K ST NW, SUITE 103
WASHINGTON, DC 20006
District of Columbia (202) 333-3883
JEFFREY B SHERMAN MD
Internal Medicine
2021 K ST NW, SUITE 404
WASHINGTON, DC 20006
District of Columbia (202) 466-8118
DR. MICHAEL J SCHWARTZ M.D.
Internal Medicine (Gastroenterology)
2021 K ST NW, SUITE T-110
WASHINGTON, DC 20006
District of Columbia (202) 296-3449
DR. BARRY PASS DDS
Dentist (Oral and Maxillofacial Radiology)
2021 K ST NW, SUITE 200
WASHINGTON, DC 20006
District of Columbia (202) 293-9729

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, LLC's NPI number?

The NPI number for Medstar Medical Group, LLC is 1255608139. It was assigned to this organization in the NPPES registry on November 21, 2011.

Where is Medstar Medical Group, LLC located?

Medstar Medical Group, LLC is located at 2021 K St NW Suite 310, Washington, DC 20006. The listed phone number is (202) 429-2401.

What is Medstar Medical Group, LLC's specialty?

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

Does Medstar 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 Medstar Medical Group, LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.