UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
NPI 1902652944
General Practice in Pikesville, MD

Active since April 29, 2024CLIA 21D0922038 · Microscopy
1777 REISTERSTOWN RD STE 235, PIKESVILLE, MD 21208(410) 415-5883 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About University Of Maryland St. Joseph Medical Group, Llc NPPES

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

UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC (NPI 1902652944), doing business as University Of Maryland St. Joseph Medical Group, is a healthcare organization registered as a general practice in Pikesville, Maryland and active in the NPI registry since April 2024. The organization holds a CLIA Microscopy certificate valid through November 12, 2026 and lists Thomas Smyth, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1902652944
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameUNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL GROUP, LLC
Location Address1777 REISTERSTOWN RD STE 235Pikesville, MD 21208-1343
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Organization SubpartNo
Authorized OfficialThomas SmythPresident And Ceo · (410) 328-1376
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1902652944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1777 REISTERSTOWN RD STE 235, Pikesville, MD 21208

Other Names 1

Doing Business AsUniversity Of Maryland St. Joseph Medical Group

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

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 for Provider-Performed Microscopy Procedures (PPMP) 21D0922038

University Of Maryland St Joseph Med Group · Pikesville, MD
Active · expires Nov 12, 2026
CLIA Number21D0922038
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorCarmen L. Farrior
Laboratory Phone(410) 415-5883
Laboratory LocationUniversity Of Maryland St Joseph Med Group1777 Reisterstown Rd # 235 Commerce Center East, Pikesville, MD 21208
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 University Of Maryland St. Joseph Medical Group, LLC's NPI number?

The NPI number for University Of Maryland St. Joseph Medical Group, LLC is 1902652944. It was assigned to this organization in the NPPES registry on April 29, 2024. The provider is doing business as University Of Maryland St. Joseph Medical Group.

Where is University Of Maryland St. Joseph Medical Group, LLC located?

University Of Maryland St. Joseph Medical Group, LLC is located at 1777 Reisterstown Rd Ste 235, Pikesville, MD 21208. The listed phone number is (410) 415-5883.

What is University Of Maryland St. Joseph Medical Group, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does University Of Maryland St. Joseph Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0922038) is associated with this NPI, valid through November 12, 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 University Of Maryland St. Joseph Medical Group, LLC was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.