UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1396536140
Family Medicine in Glen Burnie, MD

Q: What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 13, 2025CLIA 21D2322544 · Waiver

255 HOSPITAL DR STE 108, GLEN BURNIE, MD 21061(410) 757-4675 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About University Of Maryland Community Medical Group, Inc. NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1396536140) is a healthcare organization registered as a family medicine in Glen Burnie, Maryland and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Paul Stephen Nicholson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1396536140

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Location Address255 HOSPITAL DR STE 108Glen Burnie, MD 21061-5801

Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924 · (443) 462-5010

Phone(410) 757-4675

Organization SubpartNo

Authorized OfficialPaul Stephen NicholsonSenior Vice President · (410) 337-1602

Enumeration DateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1396536140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X

255 HOSPITAL DR STE 108, Glen Burnie, MD 21061

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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 21D2322544

University Of Maryland Community Medical Group · Glen Burnie, MD

Active · expires Apr 22, 2027

CLIA Number21D2322544

Laboratory TypePhysician Office

Certificate Effective DateApril 23, 2025

Certificate Expiration DateApril 22, 2027

Laboratory DirectorJorge Perez-Alard

Laboratory Phone(410) 757-4675

Laboratory LocationUniversity Of Maryland Community Medical Group255 Hospital Dr Suite 108, Glen Burnie, MD 21061

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

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

UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON HEART ASSOCIATES LLC

Internal Medicine (Cardiovascular Disease)

255 HOSPITAL DR STE 108
GLEN BURNIE, MD 21061

Anne Arundel County (410) 757-4675

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 University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1396536140. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 255 Hospital Dr Ste 108, Glen Burnie, MD 21061. The listed phone number is (410) 757-4675.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does University Of Maryland Community Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2322544) is associated with this NPI, valid through April 22, 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 University Of Maryland Community Medical Group, Inc. was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.