MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1477350403
Internal Medicine in Prince Frederick, MD

Active since February 27, 2025
130 HOSPITAL RD STE 300, PRINCE FREDERICK, MD 20678(410) 535-4333(410) 535-0495 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Feb 27, 2025 (2 updates tracked since 2025).

About Medstar Medical Group - Southern Maryland Llc NPPES

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

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC (NPI 1477350403), doing business as Medstar Shah Medical Group Llc, is a healthcare organization registered as an internal medicine in Prince Frederick, Maryland and active in the NPI registry since February 2025. The organization lists Alan Adair Buster, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1477350403
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Location Address130 HOSPITAL RD STE 300Prince Frederick, MD 20678-4057
Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900
Fax(410) 535-0495
Organization SubpartNo
Authorized OfficialAlan Adair BusterC.o.o. · (301) 373-7905
Enumeration DateFebruary 27, 2025
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1477350403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
130 HOSPITAL RD STE 300, Prince Frederick, MD 20678

Other Names 1

Doing Business AsMedstar Shah Medical Group Llc

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

Other Providers at the Same Location NPPES 10

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

Physician Assistant
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Gastroenterology)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Podiatrist
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Nephrology)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Nephrology)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Internal Medicine (Cardiovascular Disease)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678
Psychiatry & Neurology (Psychiatry)
130 HOSPITAL RD STE 300
PRINCE FREDERICK, MD 20678

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 - Southern Maryland LLC's NPI number?

The NPI number for Medstar Medical Group - Southern Maryland LLC is 1477350403. It was assigned to this organization in the NPPES registry on February 27, 2025. The provider is doing business as MedStar Shah Medical Group LLC.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 130 Hospital Rd Ste 300, Prince Frederick, MD 20678. The listed phone number is (410) 535-4333.

What is Medstar Medical Group - Southern Maryland 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 Medstar Medical Group - Southern Maryland LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.