Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1265363956
Clinic/Center - Ambulatory Surgical in Hollywood, MD

Q: What is Medstar Medical Group - Southern Maryland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 29, 2026

24035 THREE NOTCH ROAD, HOLLYWOOD, MD 20636(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Medstar Medical Group - Southern Maryland Llc NPPES

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

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC (NPI 1265363956) is a healthcare organization registered as an ambulatory surgical in Hollywood, Maryland and active in the NPI registry since May 2026. The organization lists Alan Adair Buster, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1265363956

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Location Address24035 THREE NOTCH ROADHollywood, MD 20636-4871

Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900

Phone(301) 373-7900

Fax(301) 373-6900

Organization SubpartNo

Authorized OfficialAlan Adair BusterC.o.o. · (301) 373-7905

Enumeration DateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1265363956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

24035 THREE NOTCH ROAD, Hollywood, MD 20636

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Other Identifiers 1

Medicaid423411100MD

Other Providers at the Same Location NPPES 4

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

MISS RUKAIYA BASHIR HAMIDU MD

Internal Medicine (Gastroenterology)

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7900

VIJAYA GUDURI

Internal Medicine

24035 THREE NOTCH ROAD, SHAH ASSOCIATES MD LLC
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7100

DR. IRAM A KHAN MD

Internal Medicine (Gastroenterology)

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7102

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Internal Medicine

24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636

St. Mary's County (301) 373-7900

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 - Southern Maryland LLC's NPI number?

The NPI number for Medstar Medical Group - Southern Maryland LLC is 1265363956. It was assigned to this organization in the NPPES registry on May 29, 2026.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 24035 Three Notch Road, Hollywood, MD 20636. The listed phone number is (301) 373-7900.

What is Medstar Medical Group - Southern Maryland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group - Southern Maryland LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.