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

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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: July 19, 2026.

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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

Phone(301) 621-6570

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

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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 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.

DR. CATHERINE MAILANDER M.D.

Pediatrics