CHARTER INTERNAL MEDICINE, LLC
NPI 1750492419
Internal Medicine in Marriottsville, MD

Active since August 31, 2006CLIA 21D0214463 · Waiver
2470 LONGSTONE LN STE I, MARRIOTTSVILLE, MD 21104(410) 910-2300(410) 740-9134 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charter Internal Medicine, Llc NPPES

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

CHARTER INTERNAL MEDICINE, LLC (NPI 1750492419) is a healthcare organization registered as an internal medicine in Marriottsville, Maryland and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Randal P Riesett, Partner, as its authorized official.

NPPES Registry Identity

NPI1750492419
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCHARTER INTERNAL MEDICINE, LLC
Location Address2470 LONGSTONE LN STE IMarriottsville, MD 21104-1523
Mailing Address2470 Longstone Ln Ste IMarriottsville, MD 21104-1523 · (410) 910-2300 · Fax (410) 740-9134
Fax(410) 740-9134
Organization SubpartNo
Authorized OfficialRandal P RiesettPartner · (410) 910-2300
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 14, 2017
NPI 1750492419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2470 LONGSTONE LN STE I, Marriottsville, MD 21104

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

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 21D0214463

Charter Internal Medicine LLC · Marriottsville, MD
Active · expires Nov 4, 2026
CLIA Number21D0214463
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorDr. Randal P. Riesett
Laboratory Phone(410) 910-2300
Laboratory LocationCharter Internal Medicine LLC2470 Longstone Lane Suite I, Marriottsville, MD 21104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
2470 LONGSTONE LN STE I
MARRIOTTSVILLE, MD 21104
Internal Medicine
2470 LONGSTONE LN STE I
MARRIOTTSVILLE, MD 21104

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 Charter Internal Medicine, LLC's NPI number?

The NPI number for Charter Internal Medicine, LLC is 1750492419. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Charter Internal Medicine, LLC located?

Charter Internal Medicine, LLC is located at 2470 Longstone Ln Ste I, Marriottsville, MD 21104. The listed phone number is (410) 910-2300.

What is Charter Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Charter Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0214463) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charter Internal Medicine, LLC was last updated on November 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.