Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAILWINDS MEDICAL, LLC
NPI 1417660606
Internal Medicine in Cambridge, MD

Active since January 03, 2023CLIA Certified · 2 labs
1000 GOODWILL AVE, CAMBRIDGE, MD 21613(443) 972-4204(443) 733-4435 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Aug 9, 2023, Feb 7, 2023 and 1 more (4 updates tracked since 2023).

About Sailwinds Medical, Llc NPPES

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

SAILWINDS MEDICAL, LLC (NPI 1417660606) is a healthcare organization registered as an internal medicine in Cambridge, Maryland and active in the NPI registry since January 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Salisbury, and lists Brandon Mcmullen, President, as its authorized official.

NPPES Registry Identity

NPI1417660606
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAILWINDS MEDICAL, LLC
Location Address1000 GOODWILL AVECambridge, MD 21613-2972
Mailing Address1000 Goodwill AveCambridge, MD 21613-2972 · (443) 972-4204 · Fax (443) 733-4435
Fax(443) 733-4435
Organization SubpartNo
Authorized OfficialBrandon McmullenPresident · (443) 972-4204
Enumeration DateJanuary 3, 2023
Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1417660606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1000 GOODWILL AVE, Cambridge, MD 21613

Secondary Practice Location 1

Location 1560 Riverside Dr Ste A106Salisbury, MD 21801-4702 · Phone (443) 972-4204 · Fax (443) 733-4435

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sailwinds Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Sailwinds Medical, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1033286703
408 BYRN ST
Cambridge, MD 21613
(410) 228-1068
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1316591647
801 MIDDLEFORD RD
Seaford, DE 19973
(302) 629-6611
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1427788470
10120 TEAL LN
Deal Island, MD 21821
(410) 202-9941
✔ PECOS✔ Accepts Medicare28 mi
Clinical Psychologist
NPI 1164510178
2336 GODDARD PARKWAY
Salisbury, MD 21801
(410) 334-6961
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1164421921
100 E CARROLL ST PRMC INPATIENT SERVICES
Salisbury, MD 21801
(410) 543-7536
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1699545848
5219 LANKFORD HWY
New Church, VA 23415
(757) 824-5676
✔ PECOS✔ Accepts Medicare51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 21D2299346

Sailwinds Medical LLC · Salisbury, MD
Active · expires Feb 19, 2028
CLIA Number21D2299346
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorPeter Lerza
Laboratory Phone(443) 972-4204
Laboratory LocationSailwinds Medical LLC560 Riverside Drive St A106, Salisbury, MD 21801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2276098

Sailwinds Medical Group · Cambridge, MD
Active · expires Feb 1, 2027
CLIA Number21D2276098
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorPeter Lerza
Laboratory Phone(443) 292-2233
Laboratory LocationSailwinds Medical Group1000 Goodwill Sve, Cambridge, MD 21613
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sailwinds Medical, LLC's NPI number?

The NPI number for Sailwinds Medical, LLC is 1417660606. It was assigned to this organization in the NPPES registry on January 3, 2023.

Where is Sailwinds Medical, LLC located?

Sailwinds Medical, LLC is located at 1000 Goodwill Ave, Cambridge, MD 21613. The listed phone number is (443) 972-4204.

What is Sailwinds Medical, LLC's specialty?

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

Is Sailwinds Medical, LLC enrolled in Medicare?

Yes. Sailwinds Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sailwinds Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Sailwinds Medical, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Clinical Psychologist (1) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sailwinds Medical, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sailwinds Medical, LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.