UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1699520676
Family Medicine in Glen Burnie, MD

Active since April 22, 2024CLIA 21D2194380 · Waiver
300 HOSPITAL DR STE 130, GLEN BURNIE, MD 21061(410) 553-8540 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About University Of Maryland Community Medical Group, Inc. NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1699520676) is a healthcare organization registered as a family medicine in Glen Burnie, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through September 29, 2028 and lists Paul Stephen Nicholson, Ao, as its authorized official.

NPPES Registry Identity

NPI1699520676
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address300 HOSPITAL DR STE 130Glen Burnie, MD 21061-5706
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonAo · (410) 337-1602
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1699520676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
300 HOSPITAL DR STE 130, Glen Burnie, MD 21061

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

Accepted Insurance

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 21D2194380

University Of Maryland Community Medical Group · Glen Burnie, MD
Active · expires Sep 29, 2028
CLIA Number21D2194380
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2026
Certificate Expiration DateSeptember 29, 2028
Laboratory DirectorDr. Esther K. Liu
Laboratory Phone(410) 553-8540
Laboratory LocationUniversity Of Maryland Community Medical Group300 Hospital Drive #119, Glen Burnie, MD 21061
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 University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1699520676. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 300 Hospital Dr Ste 130, Glen Burnie, MD 21061. The listed phone number is (410) 553-8540.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

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

Does University Of Maryland Community Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2194380) is associated with this NPI, valid through September 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Maryland Community Medical Group, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Maryland Community Medical Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on April 22, 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.