SOUTHERN MARYLAND PRIMARY CARE, LLC
NPI 1831386630
Family Medicine in Waldorf, MD

Active since September 26, 2007
3460 OLD WASHINGTON RD, SUITE 203A, WALDORF, MD 20602(301) 638-9670(301) 638-7558 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Maryland Primary Care, Llc NPPES

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

SOUTHERN MARYLAND PRIMARY CARE, LLC (NPI 1831386630) is a healthcare organization registered as a family medicine in Waldorf, Maryland and active in the NPI registry since September 2007. The organization lists Niran P Sharma, Owner, as its authorized official.

NPPES Registry Identity

NPI1831386630
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN MARYLAND PRIMARY CARE, LLC
Location Address3460 OLD WASHINGTON RD, SUITE 203AWaldorf, MD 20602-3240
Mailing AddressPo Box 1558Waldorf, MD 20604-1558 · (301) 638-9670 · Fax (301) 638-7558
Fax(301) 638-7558
Organization SubpartNo
Authorized OfficialNiran P SharmaOwner · (301) 638-9670
Enumeration DateSeptember 26, 2007
Last NPPES UpdateDecember 18, 2012
✔ NPI 1831386630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D78727
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.
3460 OLD WASHINGTON RD, Waldorf, MD 20602

Other Identifiers 5

Medicare UPING21113MD
OtherF247DC · Blue Cross
Medicare UPIND78727MD
Medicaid431203100MD
Medicare PIN103MMD

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Maryland Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Maryland Primary Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1699769554
3460 OLD WASHINGTON RD SUITE 203A
Waldorf, MD 20602
(301) 934-8811
✔ PECOSSame address
Nurse Practitioner
NPI 1366096034
173 SAINT PATRICKS DR STE 104
Waldorf, MD 20603
(240) 729-6250
✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Maryland Primary Care, LLC's NPI number?

The NPI number for Southern Maryland Primary Care, LLC is 1831386630. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is Southern Maryland Primary Care, LLC located?

Southern Maryland Primary Care, LLC is located at 3460 Old Washington Rd Suite 203A, Waldorf, MD 20602. The listed phone number is (301) 638-9670.

What is Southern Maryland Primary Care, LLC's specialty?

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

Is Southern Maryland Primary Care, LLC enrolled in Medicare?

Yes. Southern Maryland Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Maryland Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Maryland Primary Care, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Maryland Primary Care, LLC was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.