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MARYLAND KIDNEY GROUP PA
NPI 1659336261
Internal Medicine - Nephrology in Baltimore, MD

Active since April 18, 2006CLIA Certified · 2 labs
6830 HOSPITAL DR, SUITE 204, BALTIMORE, MD 21237(443) 559-5063(443) 559-5078 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Dec 27, 2016 (2 updates tracked since 2016).

About Maryland Kidney Group Pa NPPES

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

MARYLAND KIDNEY GROUP PA (NPI 1659336261) is a healthcare organization registered as a nephrology in Baltimore, Maryland and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Khalid K Al-talib, Head Physician, as its authorized official.

NPPES Registry Identity

NPI1659336261
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMARYLAND KIDNEY GROUP PA
Location Address6830 HOSPITAL DR, SUITE 204Baltimore, MD 21237-4373
Mailing Address6830 Hospital Dr, Suite 204Baltimore, MD 21237-4373 · (443) 559-5063 · Fax (443) 559-5078
Phone(443) 559-5063
Fax(443) 559-5078
Organization SubpartNo
Authorized OfficialKhalid K Al-talibHead Physician · (443) 559-5063
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1659336261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6830 HOSPITAL DR, Baltimore, MD 21237
Open in Google Maps ↗

Other Identifiers 1

Medicaid787830300MD

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)

Maryland Kidney Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Maryland Kidney Group PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Naveria Ammad, M.D.
Nephrology
NPI 1386107969
6830 HOSPITAL DR STE 204
Baltimore, MD 21237
(443) 559-5063
✔ PECOS✔ Accepts MedicareSame address
Dipti Patel, MD
Nephrology
NPI 1134447667
6830 HOSPITAL DR SUITE 204
Baltimore, MD 21237
(443) 559-5063
✔ PECOS✔ Accepts MedicareSame address
Jamie Romero, NP
Nurse Practitioner
NPI 1225783848
6830 HOSPITAL DR STE 204
Baltimore, MD 21237
(443) 414-5475
✔ PECOS✔ Accepts MedicareSame address
Aiman Shammas, MD
Nephrology
NPI 1710184957
6830 HOSPITAL DR SUITE 204
Baltimore, MD 21237
(443) 559-5063
✔ PECOS✔ Accepts MedicareSame address
Irfan Shukrullah, M.D
Nephrology
NPI 1528200201
6830 HOSPITAL DR SUITE 204
Baltimore, MD 21237
(443) 559-5063
✔ PECOS✔ Accepts MedicareSame address
Khalid Al-Talib, M.D.
Nephrology
NPI 1194711846
6830 HOSPITAL DR SUITE 204
Baltimore, MD 21237
(443) 559-5063
✔ PECOS✔ Accepts MedicareSame address
Immanuellin Delfin, CRNP
Nurse Practitioner
NPI 1760265391
6830 HOSPITAL DR STE 204
Rosedale, MD 21237
(443) 559-5063
✔ PECOS✔ Accepts MedicareSame address
Neal Shah, M.D.
Nephrology
NPI 1003251927
6830 HOSPITAL DR STE 204
Baltimore, MD 21237
(434) 559-5063
✔ PECOSSame address
Rosemary Dodd, CRNP
Nurse Practitioner
NPI 1396035069
25 CROSSROADS DR SUITE 205
Owings Mills, MD 21117
(410) 602-7792
✔ PECOS✔ Accepts Medicare15 mi

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

CLIA Laboratory Certificates CMS CLIA 2

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 21D0978590

Maryland Kidney Group · Baltimore, MD
Active · expires Dec 11, 2026
CLIA Number21D0978590
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorKhalid Al Talib MD
Laboratory Phone(443) 559-5063
Laboratory LocationMaryland Kidney Group6830 Hospital Drive, Suite 204, Baltimore, MD 21237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0996767

Maryland Kidney Group, P A · Towson, MD
Active · expires May 22, 2028
CLIA Number21D0996767
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorKhalid K. Altalib MD
Laboratory Phone(443) 559-5063
Laboratory LocationMaryland Kidney Group, P A7600 Osler Drive Ste 111, Towson, MD 21204
CLIA data matches this NPI record on: 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 Maryland Kidney Group PA's NPI number?

The NPI number for Maryland Kidney Group PA is 1659336261. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Maryland Kidney Group PA located?

Maryland Kidney Group PA is located at 6830 Hospital Dr Suite 204, Baltimore, MD 21237. The listed phone number is (443) 559-5063.

What is Maryland Kidney Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Maryland Kidney Group PA enrolled in Medicare?

Yes. Maryland Kidney Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryland Kidney Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Maryland Kidney Group PA. 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 Nephrology (6) and Nurse Practitioner (3). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maryland Kidney Group PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Maryland Kidney Group PA was last updated on August 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.