ANNAPOLIS INTERNAL MEDICINE, LLC
NPI 1477629681
Internal Medicine in Annapolis, MD

Active since November 28, 2006CLIA Certified · 2 labs
116 DEFENSE HWY, STE 400, ANNAPOLIS, MD 21401(410) 897-9841(410) 897-9852 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Annapolis Internal Medicine, Llc NPPES

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

ANNAPOLIS INTERNAL MEDICINE, LLC (NPI 1477629681) is a healthcare organization registered as an internal medicine in Annapolis, Maryland and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Howard D Goldstein, Partner, as its authorized official.

NPPES Registry Identity

NPI1477629681
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANNAPOLIS INTERNAL MEDICINE, LLC
Location Address116 DEFENSE HWY, STE 400Annapolis, MD 21401-7027
Mailing Address116 Defense Hwy, Ste 400Annapolis, MD 21401-7027 · (410) 897-9841 · Fax (410) 897-9852
Fax(410) 897-9852
Organization SubpartNo
Authorized OfficialHoward D GoldsteinPartner · (410) 897-9841
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 17, 2013
✔ NPI 1477629681 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.
116 DEFENSE HWY, Annapolis, MD 21401

Other Identifiers 1

Medicare ID-Type Unspecified646LMD

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annapolis Internal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Annapolis Internal Medicine, LLC, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner17
Internal Medicine10
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 28
Internal Medicine
NPI 1366598898
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003084237
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114926052
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598764540
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1841459187
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306078076
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316319973
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235298654
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386522399
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255319166
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184492712
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487425369
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528940947
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639826852
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487917605
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265204101
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376904136
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1215163407
116 DEFENSE HWY SUITE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538646880
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1639809957
116 DEFENSE HWY STE 400
Annapolis, MD 21401
(410) 897-9841
✔ PECOSSame address
See all 28 clinicians

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 3

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 21D2242103

Annapolis Internal Medicine · Annapolis, MD
Active · expires Nov 3, 2027
CLIA Number21D2242103
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorRita J. Shkullaku
Laboratory Phone(410) 897-9841
Laboratory LocationAnnapolis Internal Medicine116 Defense Highway Suite 104, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0974530

Annapolis Internal Medicine LLC · Annapolis, MD
Active · expires Sep 29, 2027
CLIA Number21D0974530
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorRita Shkullaku
Laboratory Phone(410) 897-9841
Laboratory LocationAnnapolis Internal Medicine LLC116 Defense Hwy Ste 400, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2269216

Annapolis Internal Medicine · Annapolis, MD
Expired · Sep 21, 2026
CLIA Number21D2269216
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorRita J. Shkullaku
Laboratory Phone(410) 897-9841
Laboratory LocationAnnapolis Internal Medicine116 Defense Hwy Suite 401, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
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 Annapolis Internal Medicine, LLC's NPI number?

The NPI number for Annapolis Internal Medicine, LLC is 1477629681. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Annapolis Internal Medicine, LLC located?

Annapolis Internal Medicine, LLC is located at 116 Defense Hwy Ste 400, Annapolis, MD 21401. The listed phone number is (410) 897-9841.

What is Annapolis Internal Medicine, LLC's specialty?

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

Is Annapolis Internal Medicine, LLC enrolled in Medicare?

Yes. Annapolis Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Annapolis Internal Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 3 Medicare specialties reassign their Medicare billing to Annapolis Internal Medicine, 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 (17), Internal Medicine (10) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 21 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Annapolis Internal Medicine, 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 Annapolis Internal Medicine, LLC was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.