MEDSTAR MEDICAL GROUP II LLC
NPI 1396616579
General Practice in Ellicott City, MD

Active since September 12, 2025CLIA 21D2087956 · Waiver
9501 OLD ANNAPOLIS RD, ELLICOTT CITY, MD 21042(301) 621-6570 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medstar Medical Group Ii Llc NPPES

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

MEDSTAR MEDICAL GROUP II LLC (NPI 1396616579) is a healthcare organization registered as a general practice in Ellicott City, Maryland and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Stephanie Schneider, Vp, as its authorized official.

NPPES Registry Identity

NPI1396616579
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDSTAR MEDICAL GROUP II LLC
Location Address9501 OLD ANNAPOLIS RDEllicott City, MD 21042-6314
Mailing Address3007 Tilden St Nw Ste 5nWashington, DC 20008-3030 · (703) 558-1403
Organization SubpartNo
Authorized OfficialStephanie SchneiderVp · (702) 558-1403
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1396616579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9501 OLD ANNAPOLIS RD, Ellicott City, MD 21042

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 21D2087956

Medstar Medical Group At Dorsey Hall · Ellicott City, MD
Active · expires Dec 8, 2026
CLIA Number21D2087956
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorJohn R. Brown
Laboratory Phone(301) 621-6570
Laboratory LocationMedstar Medical Group At Dorsey Hall9501 Old Annapolis Road Suite 308, Ellicott City, MD 21042
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Therapy Assistant
9501 OLD ANNAPOLIS RD, 125
ELLICOTT CITY, MD 21042
Student in an Organized Health Care Education/Training Program
9501 OLD ANNAPOLIS RD
ELLICOTT CITY, MD 21042
Pediatrics (Sports Medicine)
9501 OLD ANNAPOLIS RD, SUITE 220
ELLICOTT CITY, MD 21042
Family Medicine
9501 OLD ANNAPOLIS RD
ELLICOTT CITY, MD 21042
Obstetrics & Gynecology
9501 OLD ANNAPOLIS RD, SUITE 305
ELLICOTT CITY, MD 21042
Pediatrics
9501 OLD ANNAPOLIS RD, SUITE 101
ELLICOTT CITY, MD 21042
Pediatrics
9501 OLD ANNAPOLIS RD, SUITE 101
ELLICOTT CITY, MD 21042
Psychologist (Clinical)
9501 OLD ANNAPOLIS RD, 125
ELLICOTT CITY, MD 21042

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 II LLC's NPI number?

The NPI number for Medstar Medical Group II LLC is 1396616579. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Medstar Medical Group II LLC located?

Medstar Medical Group II LLC is located at 9501 Old Annapolis Rd, Ellicott City, MD 21042. The listed phone number is (301) 621-6570.

What is Medstar Medical Group II LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Medstar Medical Group II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2087956) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group II LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.