CROFTON MEDICAL GROUP, LLC
NPI 1457308090
Internal Medicine in Crofton, MD

Active since May 28, 2006
1667 CROFTON CTR STE 5, CROFTON, MD 21114(410) 721-2700(410) 721-8874 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crofton Medical Group, Llc NPPES

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

CROFTON MEDICAL GROUP, LLC (NPI 1457308090) is a healthcare organization registered as an internal medicine in Crofton, Maryland and active in the NPI registry since May 2006. The organization lists Mirza Mohammed Nusairee, Physician, as its authorized official.

NPPES Registry Identity

NPI1457308090
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCROFTON MEDICAL GROUP, LLC
Location Address1667 CROFTON CTR STE 5Crofton, MD 21114-1389
Mailing Address1667 Crofton Ctr Ste 5Crofton, MD 21114-1389 · (410) 721-2700 · Fax (410) 721-8874
Fax(410) 721-8874
Organization SubpartNo
Authorized OfficialMirza Mohammed NusaireePhysician · (410) 721-2700
Enumeration DateMay 28, 2006
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1457308090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1667 CROFTON CTR STE 5, Crofton, MD 21114

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Internal Medicine
1667 CROFTON CTR STE 5
CROFTON, MD 21114

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 Crofton Medical Group, LLC's NPI number?

The NPI number for Crofton Medical Group, LLC is 1457308090. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Crofton Medical Group, LLC located?

Crofton Medical Group, LLC is located at 1667 Crofton Ctr Ste 5, Crofton, MD 21114. The listed phone number is (410) 721-2700.

What is Crofton Medical Group, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Crofton Medical Group, LLC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.