MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1629875661
Internal Medicine in Waldorf, MD

Q: What is Medstar Medical Group - Southern Maryland LLC's specialty?

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

Active since February 27, 2025

10 ST. PATRICK'S DRIVE, WALDORF, MD 20603(301) 705-7870(240) 448-2930 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2025, Feb 27, 2025 (2 updates tracked since 2025).

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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 1629875661), doing business as Medstar Shah Medical Group Llc, is a healthcare organization registered as an internal medicine in Waldorf, 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

NPI1629875661

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Location Address10 ST. PATRICK'S DRIVEWaldorf, MD 20603-4527

Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900

Phone(301) 705-7870

Fax(240) 448-2930

Organization SubpartNo

Authorized OfficialAlan Adair BusterC.o.o. · (301) 373-7905

Enumeration DateFebruary 27, 2025

Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1629875661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X

Also ListedNuclear MedicineTaxonomy 207U00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

10 ST. PATRICK'S DRIVE, Waldorf, MD 20603

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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

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

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Clinic/Center (Ambulatory Surgical)

10 ST. PATRICK'S DRIVE
WALDORF, MD 20603

Charles County (301) 373-7900

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 1629875661. 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 10 St. Patrick's Drive, Waldorf, MD 20603. The listed phone number is (301) 705-7870.

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 August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.