MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003613043, based in Clinton, MD. The organization lists 2 taxonomy classifications, with Cardiovascular Disease Physician recorded as primary.
Getting there
Here is what surrounds this office in Clinton, based on OpenStreetMap data collected Oct 10, 2026. Parking is available about 669 ft away. The nearest transit stop is 612 ft away, served by Piscataway Rd at Old Branch Av.
Getting here and what is nearby
Parking 115 ft ~1 min
Parking 371 ft ~2 min
Transit Piscataway Rd at Absher Ln 416 ft ~2 min
Transit Piscataway Rd at Absher Ln 428 ft ~2 min
Transit Piscataway Rd at Old Branch Av 612 ft ~3 min
Parking 669 ft ~3 min
Gas station Citgo 904 ft ~4 min
Gas station Citgo 991 ft ~4 min
9100 Piscataway Road, Clinton 20735
Restaurant The Broiler 0.30 mi ~6 min
9021 Woodyard Road, Clinton 20735
Su-Th 10:00-22:00; Fr-Sa 10:00-23:00
Gas station US Fuel 0.32 mi ~7 min
9019 Woodyard Road, Clinton 20735
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Cardiovascular Disease covers
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | primary |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003613043 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 27, 2025 |
| Last updated | Aug 1, 2025 |
| Status | Active |
| Practice address |
9131 PISCATAWAY RD STE 610 Clinton, MD 20735 (301) 868-2106 Fax (301) 868-6757 |
| Mailing address |
24035 THREE NOTCH RD Hollywood, MD 20636 |
| Other names |
Medstar Shah Medical Group Llc Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 6 | 1 | 3 | 0 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 3 | 1 | 6 | 0 | 8 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.