MARYLAND MEDICAL GROUP, INC - NPI 1467173203 - Internal Medicine in Rockville, MD

Q: What is Maryland Medical Group, Inc's NPI number?

The NPI number for Maryland Medical Group, Inc is 1467173203. It was assigned to this organization in the NPPES registry on September 9, 2022.

Q: What is Maryland Medical Group, Inc's specialty?

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

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About Maryland Medical Group, Inc NPPES

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

MARYLAND MEDICAL GROUP, INC (NPI 1467173203) is a healthcare organization registered as an internal medicine in Rockville, Maryland and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Truong Bao, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467173203

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMARYLAND MEDICAL GROUP, INC

Location Address10110 MOLECULAR DR STE 114Rockville, MD 20850-7538

Mailing Address10110 Molecular Dr Ste 114Rockville, MD 20850-7538 · (301) 780-4745 · Fax (301) 605-7550

Phone(301) 780-4745

Fax(301) 605-7550

Organization SubpartNo

Authorized OfficialTruong BaoCeo · (301) 780-4745

Enumeration DateSeptember 9, 2022

Last NPPES UpdateApril 29, 20244 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1467173203 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.

10110 MOLECULAR DR STE 114, Rockville, MD 20850

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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

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 21D2320136

Maryland Medical Group Inc · Rockville, MD

Active · expires Mar 12, 2027

CLIA Number21D2320136

Laboratory TypePhysician Office

Certificate Effective DateMarch 13, 2025

Certificate Expiration DateMarch 12, 2027

Laboratory DirectorDr. Sayed M. Elsayyad

Laboratory Phone(301) 780-4745

Laboratory LocationMaryland Medical Group Inc10110 Molecular Dr #114, Rockville, MD 20850

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

HEATHER KAE CASE

Nurse Practitioner (Adult Health)