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BAYSIDE INTERNAL MEDICINE LLC
NPI 1326227216
Internal Medicine in Aberdeen, MD

Active since October 29, 2007CLIA 21D1008937 · Waiver
998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLC, ABERDEEN, MD 21001(410) 297-9500(410) 297-9016 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bayside Internal Medicine Llc NPPES

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

BAYSIDE INTERNAL MEDICINE LLC (NPI 1326227216) is a healthcare organization registered as an internal medicine in Aberdeen, Maryland and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Prashant Rehit Shukla, Owner, as its authorized official.

NPPES Registry Identity

NPI1326227216
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBAYSIDE INTERNAL MEDICINE LLC
Location Address998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLCAberdeen, MD 21001-1757
Mailing Address998 Hospitality Way, Suite 102, Bayside Internal Medicine, LlcAberdeen, MD 21001-1757 · (410) 297-9500 · Fax (410) 297-9016
Phone(410) 297-9500
Fax(410) 297-9016
Organization SubpartNo
Authorized OfficialPrashant Rehit ShuklaOwner · (410) 297-9500
Enumeration DateOctober 29, 2007
Last NPPES UpdateJune 29, 2012
✔ NPI 1326227216 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.
998 HOSPITALITY WAY, SUITE 102, Aberdeen, MD 21001
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Other Identifiers 5

Other489MMD · Medicare
OtherNO GROUP #MD · Medical Assistance Of Md
OtherKEB4BAMD · Carefirst
OtherDG3049GA · Railroad Medicare
OtherG738DC · Carefirst

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

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 21D1008937

Bayside Internal Medicine LLC · Aberdeen, MD
Active · expires Aug 25, 2027
CLIA Number21D1008937
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorPrashant R. Shukla
Laboratory Phone(410) 297-9500
Laboratory LocationBayside Internal Medicine LLC998 Hospitality Way Ste 102, Aberdeen, MD 21001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PRASHANT ROHIT SHUKLA M.D.
Internal Medicine
998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLC
ABERDEEN, MD 21001
Harford County (410) 297-9500
KAREN VIRGINIA JOHNSON C.R.N.P.
Nurse Practitioner (Family)
998 HOSPITALITY WAY, SUITE 102, BAYSIDE INTERNAL MEDICINE, LLC
ABERDEEN, MD 21001
Harford County (410) 297-9500

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 Bayside Internal Medicine LLC's NPI number?

The NPI number for Bayside Internal Medicine LLC is 1326227216. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is Bayside Internal Medicine LLC located?

Bayside Internal Medicine LLC is located at 998 Hospitality Way, Suite 102 Bayside Internal Medicine, LLC, Aberdeen, MD 21001. The listed phone number is (410) 297-9500.

What is Bayside Internal Medicine LLC's specialty?

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

Does Bayside Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1008937) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayside Internal Medicine LLC was last updated on June 29, 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.