MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1831592211
Internal Medicine in Hollywood, MD
NPI Status: Active since September 30, 2014
Contact Information
24035 THREE NOTCH ROAD
HOLLYWOOD, MD
ZIP 20636
Phone: (301) 373-7900
Fax: (301) 373-6900
- Organization
- Internal Medicine
- CLIA Number: 21D0209680
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
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, an internist established in Hollywood, Maryland operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1831592211 assigned on September 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated March 2026. Medstar Medical Group - Southern Maryland Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1831592211
- Provider Legal Name
- MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 24035 THREE NOTCH ROAD HOLLYWOOD, MD 20636
- 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
- 09-30-2014
- Last Update Date
- 03-12-2026
- Code Navigator
An internist like Medstar Medical Group - Southern Maryland Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 10583 Theodore Green Blvd
White Plains, MD 20695
(301) 934-9300 - 108 Forbes St 2nd Floor
Annapolis, MD 21401
(410) 571-7880 - 9811 Greenbelt Rd Ste 104
Lanham, MD 20706
(301) 373-7900 - 130 Hospital Rd Ste 300
Prince Frederick, MD 20678
(410) 535-4333 - 10 Saint Patricks Dr
Waldorf, MD 20603
(301) 373-7900 - 23415 THREE NOTCH RD 2051
California, MD 20619
(301) 373-7800 - 4240 Altamont Place
White Plains, MD 20695
(240) 518-6020 - 26840 Point Lookout Road
Leonardtown, MD 20650
(301) 475-5577 - 7300 Hanover Drive Suite 202
Greenbelt, MD 20770
(301) 441-1557 - 7501 Greenway Center Drive Suite 500
Greenbelt, MD 20770
(301) 779-5106 - 952 E Swann Creek Road
Fort Washington, MD 20744
(301) 292-7270 - 10403 Hospital Dr 102
Clinton, MD 20735
(301) 531-9190 - 22590 SHADY COURT
California, MD 20619
(301) 737-0500 - 37767 Market Dr 2nd Floor
Charlotte Hall, MD 20622
(301) 884-7330 - 1015 Prince Frederick Blvd
Prince Frederick, MD 20678
(410) 535-4116 - 22650 Cedar Lane Ct
Leonardtown, MD 20650
(301) 475-5021 - 28030 Old Village Road
Mechanicsville, MD 20659
(301) 884-4666 - 6710 Oxon Hill Road Suite 250
Oxon Hill, MD 20745
(301) 292-7270 - 11910 HG Trueman Road
Lsuby, MD 20657
(410) 326-6391 - 950 E Swann Creek Rd
Ft Washington, MD 20744
(301) 292-7270 - 900 East Swann Creek Road
Ft Washington, MD 20744
(301) 292-1590 - 7704 Matapeake Business Dr Suite 325
Brandywine, MD 20613
(240) 244-5151 - 2200 Defense Hwy Suite 103
Crofton, MD 21114
(410) 721-5280 - 14300 Gallant Fox Lane Suite 123
Bowie, MD 20715
(301) 860-1310
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 11 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | |
| 12 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 13 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 14 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0209680
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- VIPLAV N. DEOGAONKAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medstar Medical Group - Southern Maryland Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1831592211, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831592211, enumerated as an "organization" on September 30, 2014.
The provider is located at 24035 THREE NOTCH ROAD HOLLYWOOD, MD 20636 and the phone number is (301) 373-7900.
Internal Medicine with taxonomy code 207R00000X.
