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CALVERTHEALTH MEDICAL GROUP, LLC
NPI 1548007313
Family Medicine in Waldorf, MD

Active since July 10, 2024
1036 SAINT NICHOLAS DR UNIT 101, WALDORF, MD 20603(410) 414-2788(410) 535-8795 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Calverthealth Medical Group, Llc NPPES

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

CALVERTHEALTH MEDICAL GROUP, LLC (NPI 1548007313) is a healthcare organization registered as a family medicine in Waldorf, Maryland and active in the NPI registry since July 2024. The organization lists Carolyn Heithaus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548007313
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCALVERTHEALTH MEDICAL GROUP, LLC
Location Address1036 SAINT NICHOLAS DR UNIT 101Waldorf, MD 20603-4758
Mailing Address100 Hospital RdPrince Frederick, MD 20678-4017 · (410) 414-4791 · Fax (410) 535-8417
Phone(410) 414-2788
Fax(410) 535-8795
Organization SubpartYesParent: Calvert Health System, Inc.
Authorized OfficialCarolyn HeithausCfo · (410) 535-8236
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1548007313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1036 SAINT NICHOLAS DR UNIT 101, Waldorf, MD 20603
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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)

Calverthealth Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

56

Medicare enrollment records show 56 clinicians reassign Medicare billing to Calverthealth Medical Group, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner17
Obstetrics/Gynecology13
Family Practice5
General Surgery5
Registered Dietitian or Nutrition Professional4
Hematology/Oncology3
Orthopedic Surgery2
Gastroenterology1
6 other specialties6

Nearest to this location (20)

See all 56
Aldene Doyle, DNP, FNP-BC, WCC, RN
Nurse Practitioner
NPI 1215551122
9135 PISCATAWAY RD STE 420
Clinton, MD 20735
(301) 868-2555
✔ PECOS✔ Accepts Medicare10 mi
Nnenna Maduforo, D.O.
Obstetrics/Gynecology
NPI 1811337025
3000 POTOMAC AVE
Alexandria, VA 22305
(703) 721-6000
✔ PECOS✔ Accepts Medicare16 mi
John Cooper
Urology
NPI 1538408570
1015 PRINCE FREDERICK BLVD
Prince Frederick, MD 20678
(410) 535-4116
✔ PECOS✔ Accepts Medicare18 mi
Wendy Bosley, CRNP
Nurse Practitioner
NPI 1740698315
130 HOSPITAL RD STE 201
Prince Frederick, MD 20678
(410) 414-4700
✔ PECOS✔ Accepts Medicare18 mi
James Carson, M.D. MPH
Orthopedic Surgery
NPI 1780978775
130 HOSPITAL RD STE 102
Prince Frederick, MD 20678
(410) 846-8800
✔ PECOS✔ Accepts Medicare18 mi
Fahad Rahman, DPM
Podiatry
NPI 1255072534
130 HOSPITAL RD STE 102
Prince Frederick, MD 20678
(410) 846-8800
✔ PECOS18 mi
Alaa Ahmed, MD, PHD, MPH
Preventive Medicine
NPI 1952046278
110 HOSPITAL RD STE 111
Prince Frederick, MD 20678
(410) 535-4488
✔ PECOS✔ Accepts Medicare18 mi
Barbara Estes, M.D.
Obstetrics/Gynecology
NPI 1508998816
110 HOSPITAL RD STE 310
Prince Frederick, MD 20678
(410) 414-4740
✔ PECOS✔ Accepts Medicare18 mi
Kanwal Mansur, MS, CNS, LDN, MBBS
Registered Dietitian or Nutrition Professional
NPI 1982273215
110 HOSPITAL RD STE 101
Prince Frederick, MD 20678
(410) 535-8195
✔ Accepts Medicare18 mi
Charbel Matar, MD
Hematology/Oncology
NPI 1811564172
110 HOSPITAL RD STE 105
Prince Frederick, MD 20678
(410) 414-9116
✔ PECOS18 mi
Adair Mccabe, DO
Family Practice
NPI 1851077077
110 HOSPITAL RD STE 111
Prince Frederick, MD 20678
(410) 535-4488
✔ PECOS18 mi
Lillian Nugent
Registered Dietitian or Nutrition Professional
NPI 1922830868
100 HOSPITAL RD
Prince Frederick, MD 20678
(105) 358-2334
✔ Accepts Medicare19 mi
Kenneth Abbott, M.D.
Medical Oncology
NPI 1306976949
110 HOSPITAL RD STE 105
Prince Frederick, MD 20678
(410) 414-9116
✔ PECOS✔ Accepts Medicare19 mi
Bilal Ahmed, MD
Hematology/Oncology
NPI 1093984411
110 HOSPITAL RD SUITE 105
Prince Frederick, MD 20678
(410) 414-9116
✔ PECOS✔ Accepts Medicare19 mi
Ramzi Alami, MD
General Surgery
NPI 1750469243
110 HOSPITAL RD STE 101
Prince Frederick, MD 20678
(410) 535-8195
✔ PECOS✔ Accepts Medicare19 mi
Ervind Bhogte, M.D.
General Surgery
NPI 1649437468
110 HOSPITAL RD STE 210
Prince Frederick, MD 20678
(410) 414-9017
✔ PECOS✔ Accepts Medicare19 mi
Michelle Folsom Elder, M.D.
Family Practice
NPI 1043433816
110 HOSPITAL RD STE 111
Prince Frederick, MD 20678
(410) 535-4488
✔ PECOS✔ Accepts Medicare19 mi
Uday Patel, M.D.
Orthopedic Surgery
NPI 1922157965
110 HOSPITAL RD SUITE 201
Prince Frederick, MD 20678
(866) 705-5729
✔ PECOS✔ Accepts Medicare19 mi
Joseph Wuamett, M.D.
Vascular Surgery
NPI 1205065711
110 HOSPITAL RD STE 213
Prince Frederick, MD 20678
(410) 414-2790
✔ PECOS✔ Accepts Medicare19 mi
Wilfred Ehrmantraut, MD
Plastic and Reconstructive Surgery
NPI 1952480733
70 SHERRY LN SUITE 203
Prince Frederick, MD 20678
(410) 414-9844
✔ PECOS✔ Accepts Medicare20 mi
See all 56 clinicians

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 Calverthealth Medical Group, LLC's NPI number?

The NPI number for Calverthealth Medical Group, LLC is 1548007313. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Calverthealth Medical Group, LLC located?

Calverthealth Medical Group, LLC is located at 1036 Saint Nicholas Dr Unit 101, Waldorf, MD 20603. The listed phone number is (410) 414-2788.

What is Calverthealth Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Calverthealth Medical Group, LLC enrolled in Medicare?

Yes. Calverthealth Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Calverthealth Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 14 Medicare specialties reassign their Medicare billing to Calverthealth Medical Group, 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), Obstetrics/Gynecology (13) and Family Practice (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Calverthealth Medical Group, LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.