MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1831592211
Internal Medicine in Hollywood, MD

Q: What is Medstar Medical Group - Southern Maryland LLC's specialty?

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

Active since September 30, 2014

24035 THREE NOTCH ROAD, HOLLYWOOD, MD 20636(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2026, Aug 12, 2025, Aug 19, 2024 and 3 more (6 updates tracked since 2021).

On this page

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 1831592211), doing business as Medstar Shah Medical Group, Llc, is a healthcare organization registered as an internal medicine in Hollywood, Maryland and active in the NPI registry since September 2014. The organization maintains 24 additional practice locations and lists Eric R Wagner, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1831592211

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

Location Address24035 THREE NOTCH ROADHollywood, MD 20636-4871

Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900

Phone(301) 373-7900

Fax(301) 373-6900

Organization SubpartNo

Authorized OfficialEric R WagnerExecutive Vice President · (410) 772-6595

Enumeration DateSeptember 30, 2014

Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1831592211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

24035 THREE NOTCH ROAD, Hollywood, MD 20636

Open in Google Maps ↗

Other Names 1

Doing Business AsMedstar Shah Medical Group, Llc

Secondary Practice Locations 24

Location 1952 E Swann Creek RoadFort Washington, MD 20744-1124 · Phone (301) 292-7270 · Fax (301) 747-9106

Location 27501 Greenway Center Drive Suite 500Greenbelt, MD 20770-3546 · Phone (301) 779-5106 · Fax (301) 779-5109

Location 37300 Hanover Drive Suite 202Greenbelt, MD 20770-2247 · Phone (301) 441-1557 · Fax (301) 345-1835

Location 426840 Point Lookout RoadLeonardtown, MD 20650-0664 · Phone (301) 475-5577 · Fax (301) 475-7419

Location 54240 Altamont PlaceWhite Plains, MD 20695-3052 · Phone (240) 518-6020 · Fax (240) 518-6021

Location 623415 THREE NOTCH RD 2051California, MD 20619-4018 · Phone (301) 373-7800 · Fax (301) 373-6800

Location 710 Saint Patricks DrWaldorf, MD 20603-4527 · Phone (301) 373-7900 · Fax (301) 373-6900

Location 8130 Hospital Rd Ste 300Prince Frederick, MD 20678-4057 · Phone (410) 535-4333 · Fax (410) 535-3260

Location 99811 Greenbelt Rd Ste 104Lanham, MD 20706-6241 · Phone (301) 373-7900 · Fax (301) 373-6900

Location 10108 Forbes St 2nd FloorAnnapolis, MD 21401-1502 · Phone (410) 571-7880 · Fax (109) 406-5384

Location 1110403 Hospital Dr 102Clinton, MD 20735-3134 · Phone (301) 531-9190 · Fax (301) 531-9191

Location 1222590 SHADY COURTCalifornia, MD 20619-5009 · Phone (301) 737-0500 · Fax (301) 373-3351

Location 1337767 Market Dr 2nd FloorCharlotte Hall, MD 20622-3188 · Phone (301) 884-7330 · Fax (301) 884-7530

Location 141015 Prince Frederick BlvdPrince Frederick, MD 20678-3193 · Phone (410) 535-4116 · Fax (410) 414-8480

Location 1522650 Cedar Lane CtLeonardtown, MD 20650-3965 · Phone (301) 475-5021 · Fax (301) 997-0264

Location 1628030 Old Village RoadMechanicsville, MD 20659-3295 · Phone (301) 884-4666 · Fax (301) 884-5852

Location 176710 Oxon Hill Road Suite 250Oxon Hill, MD 20745-1124 · Phone (301) 292-7270 · Fax (301) 203-0740

Location 1811910 HG Trueman RoadLsuby, MD 20657-2921 · Phone (410) 326-6391 · Fax (410) 326-6399

Location 19950 E Swann Creek RdFt Washington, MD 20744-5250 · Phone (301) 292-7270 · Fax (301) 292-6432

Location 20900 East Swann Creek RoadFt Washington, MD 20744-5250 · Phone (301) 292-1590 · Fax (301) 861-1210

Location 217704 Matapeake Business Dr Suite 325Brandywine, MD 20613-3043 · Phone (240) 244-5151 · Fax (240) 244-5131

Location 222200 Defense Hwy Suite 103Crofton, MD 21114-2926 · Phone (410) 721-5280 · Fax (410) 721-2243

Location 2314300 Gallant Fox Lane Suite 123Bowie, MD 20715-1001 · Phone (301) 860-1310 · Fax (301) 860-1331

Location 2410583 Theodore Green BlvdWhite Plains, MD 20695-3022 · Phone (301) 934-9300 · Fax (301) 934-6963

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Medstar Medical Group - Southern Maryland Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

317

Medicare enrollment records show 317 clinicians reassign Medicare billing to Medstar Medical Group - Southern Maryland LLC, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 59 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Diagnostic Radiology113

Internal Medicine48

Nurse Practitioner31

Certified Registered Nurse Anesthetist (CRNA)19

Cardiovascular Disease (Cardiology)16

Gastroenterology12

Family Practice11

Endocrinology8

21 other specialties59

Nearest to this location (20)

See all 317

Dareen Almanabri, M.D.

Internal Medicine

NPI 1679869051

24035 THREE NOTCH RD MEDSTAR SHAH
Hollywood, MD 20636

(301) 373-7100

✔ PECOS✔ Accepts MedicareSame address

Rukaiya Bashir Hamidu, MD

Gastroenterology

NPI 1265928238

24035 THREE NOTCH ROAD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Shashank Dengle, MD

Cardiovascular Disease (Cardiology)

NPI 1912088527

24035 THREE NOTCH ROAD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Rajbinder Gill

Internal Medicine

NPI 1487688164

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7400

✔ PECOS✔ Accepts MedicareSame address

John Harvey, MD

Vascular Surgery

NPI 1104851336

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Kundan Karkhanis, MD

Rheumatology

NPI 1801047824

24035 THREE NOTCH ROAD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Bryan Lebude, M.D.

Cardiovascular Disease (Cardiology)

NPI 1316267446

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7318

✔ PECOS✔ Accepts MedicareSame address

Lissette Libby, NP

Nurse Practitioner

NPI 1356910244

24035 THREE NOTCH ROAD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Kathleen Mcclanahan, CRNP

Nurse Practitioner

NPI 1275503633

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Karen Mccleaf, CRNP

Nurse Practitioner

NPI 1316148513

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Aveek Mukherjee, MD

Pulmonary Disease

NPI 1952888042

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Mary Grace Weeks, CRNP

Nurse Practitioner

NPI 1528923604

24035 THREE NOTCH ROAD
Hollywood, MD 20636

(301) 373-7900

✔ PECOSSame address

Vinod Abraham

Neurology

NPI 1457438350

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Bhasker Jhaveri

Internal Medicine

NPI 1154356210

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7100

✔ PECOS✔ Accepts MedicareSame address

Anil Kankaria

Gastroenterology

NPI 1568497535

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7500

✔ PECOS✔ Accepts MedicareSame address

Mark Manguerra, M.D.

Internal Medicine

NPI 1598012759

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Adinath Patil

Cardiovascular Disease (Cardiology)

NPI 1487679312

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7400

✔ PECOS✔ Accepts MedicareSame address

Amish Shah

Cardiovascular Disease (Cardiology)

NPI 1225057532

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7400

✔ PECOS✔ Accepts MedicareSame address

Jyoti Shah

Pulmonary Disease

NPI 1922027754

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7900

✔ PECOS✔ Accepts MedicareSame address

Nayan Shah

Gastroenterology

NPI 1689693426

24035 THREE NOTCH RD
Hollywood, MD 20636

(301) 373-7400

✔ PECOS✔ Accepts MedicareSame address

See all 317 clinicians

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 Medstar Medical Group - Southern Maryland LLC's NPI number?

The NPI number for Medstar Medical Group - Southern Maryland LLC is 1831592211. It was assigned to this organization in the NPPES registry on September 30, 2014. The provider is doing business as MedStar Shah Medical Group, LLC.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 24035 Three Notch Road, Hollywood, MD 20636. 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 Internal Medicine with taxonomy code 207R00000X.

Is Medstar Medical Group - Southern Maryland LLC enrolled in Medicare?

Yes. Medstar Medical Group - Southern Maryland LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medstar Medical Group - Southern Maryland LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 317 clinicians in 29 Medicare specialties reassign their Medicare billing to Medstar Medical Group - Southern Maryland LLC. 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. The largest specialties are Diagnostic Radiology (113), Internal Medicine (48) and Nurse Practitioner (31). Of these, 23 practice at this address and 59 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 Medstar Medical Group - Southern Maryland LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.