CALVERT INTERNAL MEDICINE GROUP, PA
NPI 1376936823
Nurse Practitioner - Gerontology in Prince Frederick, MD
NPI Status: Active since March 09, 2015
Contact Information
110 HOSPITAL RD
SUITE 310
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 535-2005
- Organization
- Nurse Practitioner
- Gerontology
- CLIA Number: 21D0689728
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-18-2028
About CALVERT INTERNAL MEDICINE GROUP, PA
This page provides the complete NPI Profile along with additional information for Calvert Internal Medicine Group, Pa, a provider established in Prince Frederick, Maryland operating as a Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1376936823 assigned on March 2015. The practitioner's primary taxonomy code is 363LG0600X with license number R144667 (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. Calvert Internal Medicine Group, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Patricia A Gates (Credentialing Specialist)
- NPI
- 1376936823
- Provider Name
- CALVERT INTERNAL MEDICINE GROUP, PA
- Entity Type
- Organization
- Location Address
- 110 HOSPITAL RD SUITE 310 PRINCE FREDERICK, MD 20678
- Location Phone
- (410) 535-2005
- Mailing Address
- 110 HOSPITAL RD SUITE 310 PRINCE FREDERICK, MD 20678
- Mailing Phone
- (410) 535-2005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2015
- Last Update Date
- 03-09-2015
- Code Navigator
A nurse practitioner (NP) like Calvert Internal Medicine Group, Pa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Gerontology
- Taxonomy Code
- 363LG0600X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R144667
- License State
- MD
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0689728
- Facility Type
- Physician Office
- Certificate Effective Date
- May 19, 2026
- Certificate Expiration Date
- May 18, 2028
- Laboratory Director
- DR. PAUL POMILLA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Calvert Internal Medicine Group, Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1376936823, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376936823, enumerated as an "organization" on March 09, 2015.
The provider is located at 110 HOSPITAL RD SUITE 310 PRINCE FREDERICK, MD 20678 and the phone number is (410) 535-2005.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
