MAHESH MOONDRA, MD, PA
NPI 1861499634
Internal Medicine in Salisbury, MD

Active since July 07, 2005CLIA 21D0950366 · Waiver
106 MILFORD ST, SUITE 504B, SALISBURY, MD 21804(410) 546-5954(410) 219-3038 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mahesh Moondra, Md, Pa NPPES

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

MAHESH MOONDRA, MD, PA (NPI 1861499634) is a healthcare organization registered as an internal medicine in Salisbury, Maryland and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Mahesh Moondra, Owner, as its authorized official.

NPPES Registry Identity

NPI1861499634
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAHESH MOONDRA, MD, PA
Location Address106 MILFORD ST, SUITE 504BSalisbury, MD 21804-6953
Mailing Address106 Milford St, Suite 504bSalisbury, MD 21804-6953 · (410) 546-5954 · Fax (410) 219-3038
Fax(410) 219-3038
Organization SubpartNo
Authorized OfficialMahesh MoondraOwner · (410) 546-5954
Enumeration DateJuly 7, 2005
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
NPI 1861499634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D32014
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.
106 MILFORD ST, Salisbury, MD 21804

Other Identifiers 15

Other4393240Aetn
Other510427Ushc
Other545418200Mamd
Medicaid545418200MD
Other0000875602Made
OtherE475Bsdc
OtherKA67MABsmd
Other191308Amerigroup
Other21728011Uhc
Other251300Bsva
Other30773Pp
Other32014Dhp
Other843455Mams
Other110140803Mbrr
Other000799857Amerihealth

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 21D0950366

Mahesh Moondra MD · Salisbury, MD
Active · expires Aug 23, 2026
CLIA Number21D0950366
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorMahesh Moondra MD
Laboratory Phone(410) 546-5954
Laboratory LocationMahesh Moondra MD106 Milford Street Suite 504B, Salisbury, MD 21804
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 20

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

Nurse Practitioner
106 MILFORD ST, STE 201
SALISBURY, MD 21804
Podiatrist
106 MILFORD ST, SUITE 504-A
SALISBURY, MD 21804
Podiatrist
106 MILFORD ST, STE 403
SALISBURY, MD 21804
Clinic/Center (Primary Care)
106 MILFORD ST, SUITE 306
SALISBURY, MD 21804
Internal Medicine (Cardiovascular Disease)
106 MILFORD ST
SALISBURY, MD 21804
Psychiatry & Neurology (Psychiatry)
106 MILFORD ST, SUITE 306
SALISBURY, MD 21804
Nurse Practitioner (Family)
106 MILFORD ST, SUITE 605
SALISBURY, MD 21804
Internal Medicine (Interventional Cardiology)
106 MILFORD ST, SUITE 605
SALISBURY, MD 21804

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 Mahesh Moondra, MD, PA's NPI number?

The NPI number for Mahesh Moondra, MD, PA is 1861499634. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Mahesh Moondra, MD, PA located?

Mahesh Moondra, MD, PA is located at 106 Milford St Suite 504B, Salisbury, MD 21804. The listed phone number is (410) 546-5954.

What is Mahesh Moondra, MD, PA's specialty?

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

Does Mahesh Moondra, MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0950366) is associated with this NPI, valid through August 23, 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 Mahesh Moondra, MD, PA was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.