1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Surgery
  6. NPI Profile

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1639019573
Surgery in Waldorf, MD

Active since March 31, 2026
3261 OLD WASHINGTON RD 1012, WALDORF, MD 20602(301) 843-9060(301) 645-3092 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Mar 31, 2026 (2 updates tracked since 2026).

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 1639019573) is a healthcare organization registered as a surgery in Waldorf, Maryland and active in the NPI registry since March 2026. The organization lists Alan Adair Buster, Coo, as its authorized official.

NPPES Registry Identity

NPI1639019573
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Location Address3261 OLD WASHINGTON RD 1012Waldorf, MD 20602-3228
Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900
Phone(301) 843-9060
Fax(301) 645-3092
Organization SubpartNo
Authorized OfficialAlan Adair BusterCoo · (301) 373-7905
Enumeration DateMarch 31, 2026
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1639019573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3261 OLD WASHINGTON RD 1012, Waldorf, MD 20602
Open in Google Maps ↗

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

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 1639019573. It was assigned to this organization in the NPPES registry on March 31, 2026.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 3261 Old Washington Rd 1012, Waldorf, MD 20602. The listed phone number is (301) 843-9060.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group - Southern Maryland LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.