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DUNDALK MEDICAL GROUP
NPI 1619514049
Family Medicine in Dundalk, MD

Active since December 04, 2019CLIA 21D2242090 · Waiver
207 WISE AVENUE, DUNDALK, MD 21222(410) 284-1004(410) 284-2109 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dundalk Medical Group NPPES

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

DUNDALK MEDICAL GROUP (NPI 1619514049) is a healthcare organization registered as a family medicine in Dundalk, Maryland and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Deepak Seth, Owner, as its authorized official.

NPPES Registry Identity

NPI1619514049
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUNDALK MEDICAL GROUP LLC
Location Address207 WISE AVENUEDundalk, MD 21222-4911
Mailing Address207 Wise AvenueDundalk, MD 21222-4911 · (410) 284-1004 · Fax (410) 284-2109
Phone(410) 284-1004
Fax(410) 284-2109
Organization SubpartNo
Authorized OfficialDeepak SethOwner · (410) 284-1004
Enumeration DateDecember 4, 2019
Last NPPES UpdateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1619514049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
207 WISE AVENUE, Dundalk, MD 21222
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Other Names 1

Doing Business AsDundalk Medical Group

Other Identifiers 1

Medicaid666885200MD

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

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 21D2242090

Dundalk Medical Group · Dundalk, MD
Active · expires Nov 3, 2027
CLIA Number21D2242090
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorDeepak Seth
Laboratory Phone(410) 284-1004
Laboratory LocationDundalk Medical Group207 Wise Avenue, Dundalk, MD 21222
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 Dundalk Medical Group LLC's NPI number?

The NPI number for Dundalk Medical Group LLC is 1619514049. It was assigned to this organization in the NPPES registry on December 4, 2019. The provider is doing business as Dundalk Medical Group.

Where is Dundalk Medical Group LLC located?

Dundalk Medical Group LLC is located at 207 Wise Avenue, Dundalk, MD 21222. The listed phone number is (410) 284-1004.

What is Dundalk Medical Group LLC's specialty?

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

Does Dundalk Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2242090) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dundalk Medical Group LLC was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.