SYNERGY MEDICAL GROUP, LLC - NPI 1316899545 - Internal Medicine in Baltimore, MD

Q: What is Synergy Medical Group, LLC's NPI number?

The NPI number for Synergy Medical Group, LLC is 1316899545. It was assigned to this organization in the NPPES registry on February 11, 2026. The provider is also known as Autumn Lake Long Green.

Q: 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.

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About Synergy Medical Group, Llc NPPES

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

SYNERGY MEDICAL GROUP, LLC (NPI 1316899545) is a healthcare organization registered as a nephrology in Baltimore, Maryland and active in the NPI registry since February 2026. The organization lists Kamal Salah H Sewaralthahab, Owner, as its authorized official.

NPPES Registry Identity

NPI1316899545

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameSYNERGY MEDICAL GROUP, LLC

Location Address115 E MELROSE AVEBaltimore, MD 21212-2945

Mailing Address1205 York Rd Ste 11Timonium, MD 21093-6211 · (443) 325-0031

Phone(410) 435-9073

Organization SubpartNo

Authorized OfficialKamal Salah H SewaralthahabOwner · (443) 325-0031

Enumeration DateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1316899545 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 · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

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

115 E MELROSE AVE, Baltimore, MD 21212

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Other Names 1

Other NameAutumn Lake Long Green

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 20

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

115 EAST MELROSE OPCO LLC

Skilled Nursing Facility