MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1730571118
Clinic/Center - Ambulatory Surgical in Waldorf, MD
NPI Status: Active since February 23, 2015
Contact Information
10 ST. PATRICK'S DRIVE
WALDORF, MD
ZIP 20603
Phone: (301) 373-7900
Fax: (301) 373-6900
- Organization
- Clinic/Center
- Ambulatory Surgical
About MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
This page provides the complete NPI Profile along with additional information for Medstar Medical Group - Southern Maryland Llc, a provider established in Waldorf, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1730571118 assigned on February 2015. The practitioner's primary taxonomy code is 261QA1903X with license number A1234 (MD). The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Mr. Eric R Wagner (Executive Vice President)
- NPI
- 1730571118
- Provider Name
- MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
- Entity Type
- Organization
- Location Address
- 10 ST. PATRICK'S DRIVE WALDORF, MD 20603
- Location Phone
- (301) 373-7900
- Location Fax
- (301) 373-6900
- Mailing Address
- 24035 THREE NOTCH RD HOLLYWOOD, MD 20636
- Mailing Phone
- (301) 373-7900
- Mailing Fax
- (301) 373-6900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2015
- Last Update Date
- 05-29-2026
- Code Navigator
Location Map
Secondary Locations
- 130 Hospital Road Suite 300
Prince Frederick, MD 20678
(410) 535-4333 - 24035 Three Notch Road
Hollywood, MD 20636
(301) 373-7900
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- A1234
- License State
- MD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 423411100 | MEDICAID (05) | MD | |
| 423411103 | MEDICAID (05) | MD |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Biopsy of lower large bowel using a flexible endoscope
Biopsy of prostate gland
Biopsy of small bowel (except ileum) using an endoscope
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Control of bleeding of upper large bowel using a flexible endoscope
Destruction of internal hemorrhoids using heat
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Diagnostic exam of large bowel using a flexible endoscope
Diagnostic exam of lower portion of large bowel using a flexible endoscope
Dilation of esophagus
Injection beneath lining of large bowel using a flexible endoscope
Insertion of guide wire with dilation of esophagus using a flexible endoscope
Removal of large bowel tissue using a flexible endoscope
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
Shock wave crushing of kidney stones
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
This service was performed 125 times for 113 patientsThis procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
This service was performed 1,307 times for 1,259 patientsA biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
This service was performed 989 times for 985 patientsA biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.
This service was performed 17 times for 16 patientsA biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
This service was performed 25 times for 25 patientsA small bowel biopsy involves using a thin, flexible tube called an endoscope to examine the small intestine and take a small tissue sample. This sample is then examined under a microscope for any abnormalities. It's a safe, minimally invasive procedure.
This service was performed 18 times for 18 patientsColorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
This service was performed 19 times for 19 patientsColorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 69 times for 69 patientsThis procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.
This service was performed 11 times for 11 patientsThis procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.
This service was performed 15 times for 13 patientsThis procedure involves using heat to treat internal hemorrhoids. A specialized device generates heat to shrink the hemorrhoid, alleviating discomfort. It's a quick, minimally invasive process with a fast recovery time. It's a common, safe procedure for hemorrhoid relief.
This service was performed 25 times for 25 patientsThis procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
This service was performed 72 times for 67 patientsThis procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
This service was performed 328 times for 326 patientsThis procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
This service was performed 24 times for 24 patientsDilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
This service was performed 23 times for 22 patientsThis procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
This service was performed 395 times for 391 patientsThis is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
This service was performed 225 times for 142 patientsThis procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.
This service was performed 242 times for 239 patientsThis procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.
This service was performed 114 times for 113 patientsThis procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
This service was performed 247 times for 246 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 787 times for 783 patientsShock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
This service was performed 16 times for 13 patientsReviews for MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1730571118, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
WALDORF, MD 20603
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730571118, enumerated as an "organization" on February 23, 2015.
The provider is located at 10 ST. PATRICK'S DRIVE WALDORF, MD 20603 and the phone number is (301) 373-7900.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.