MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1730571118
Clinic/Center - Ambulatory Surgical in Waldorf, MD

Active since February 23, 2015
10 ST. PATRICK'S DRIVE, WALDORF, MD 20603(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 29, 2026, Aug 4, 2025, May 14, 2024 and 3 more (6 updates tracked since 2021).

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

NPI1730571118
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Location Address10 ST. PATRICK'S DRIVEWaldorf, MD 20603-4527
Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900
Fax(301) 373-6900
Organization SubpartNo
Authorized OfficialEric R WagnerExecutive Vice President · (410) 772-6595
Enumeration DateFebruary 23, 2015
Last NPPES UpdateMay 29, 20266 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1730571118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MD · A1234
10 ST. PATRICK'S DRIVE, Waldorf, MD 20603

Secondary Practice Locations 2

Location 124035 Three Notch RoadHollywood, MD 20636-4871 · Phone (301) 373-7900 · Fax (301) 373-6900
Location 2130 Hospital Road, Suite 300Prince Frederick, MD 20678-4015 · Phone (410) 535-4333 · Fax (410) 535-3260

Other Identifiers 2

Medicaid423411100MD
Medicaid423411103MD

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This 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.
1,307 services1,259 patients
Biopsy of large bowel using a flexible endoscope 45380
A 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.
989 services985 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This 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.
787 services783 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This 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.
395 services391 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This 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.
328 services326 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This 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.
247 services246 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
10 ST. PATRICK'S DRIVE
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.