EASTERN SHORE INTERNIST LLC
NPI 1508682576
Internal Medicine in Salisbury, MD

Active since November 25, 2024
5484 DUNFRIES CT, SALISBURY, MD 21801(202) 352-5613 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Shore Internist Llc NPPES

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

EASTERN SHORE INTERNIST LLC (NPI 1508682576) is a healthcare organization registered as an internal medicine in Salisbury, Maryland and active in the NPI registry since November 2024. The organization lists Shahabuddin Soherwardi, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1508682576
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTERN SHORE INTERNIST LLC
Location Address5484 DUNFRIES CTSalisbury, MD 21801-2474
Mailing Address5484 Dunfries CtSalisbury, MD 21801-2474 · (202) 352-5613
Organization SubpartNo
Authorized OfficialShahabuddin SoherwardiAuthorized Official · (202) 352-5613
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1508682576 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.
5484 DUNFRIES CT, Salisbury, MD 21801

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Shore Internist Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Shore Internist LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1548646383
100 E CARROLL ST
Salisbury, MD 21801
(180) 074-9519
✔ PECOS✔ Accepts Medicare4.3 mi

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

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 Eastern Shore Internist LLC's NPI number?

The NPI number for Eastern Shore Internist LLC is 1508682576. It was assigned to this organization in the NPPES registry on November 25, 2024.

Where is Eastern Shore Internist LLC located?

Eastern Shore Internist LLC is located at 5484 Dunfries Ct, Salisbury, MD 21801. The listed phone number is (202) 352-5613.

What is Eastern Shore Internist LLC's specialty?

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

Is Eastern Shore Internist LLC enrolled in Medicare?

Yes. Eastern Shore Internist LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Internist LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Eastern Shore Internist 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Shore Internist LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.