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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
NPI 1891626594
Clinic/Center - Ambulatory Surgical in Prince Frederick, MD

Active since May 29, 2026
130 HOSPITAL DRIVE, STE 300, PRINCE FREDERICK, MD 20678(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1891626594) is a healthcare organization registered as an ambulatory surgical in Prince Frederick, Maryland and active in the NPI registry since May 2026. The organization lists Alan Adair Buster, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1891626594
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Location Address130 HOSPITAL DRIVE, STE 300Prince Frederick, MD 20678-4057
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 OfficialAlan Adair BusterC.o.o. · (301) 373-7905
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1891626594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
130 HOSPITAL DRIVE, Prince Frederick, MD 20678
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Other Identifiers 1

Medicaid423411104MD

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 1891626594. It was assigned to this organization in the NPPES registry on May 29, 2026.

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC is located at 130 Hospital Drive Ste 300, Prince Frederick, MD 20678. 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 Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Medstar Medical Group - Southern Maryland LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.