MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1730571118
Clinic/Center - Ambulatory Surgical in Waldorf, MD
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 1730571118) is a healthcare organization registered as an ambulatory surgical in Waldorf, Maryland and active in the NPI registry since February 2015. The organization maintains 2 additional practice locations and lists Eric R Wagner, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Areas of Expertise CMS Part B claims 22
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALDORF, MD 20603
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 1730571118. It was assigned to this organization in the NPPES registry on February 23, 2015.
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) 373-7900.
What is Medstar Medical Group - Southern Maryland LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
When was this NPI record last updated?
The NPPES record for Medstar Medical Group - Southern Maryland LLC was last updated on May 29, 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.