OrganizationActive
Blackwater Medical Associates, LLC
NPI 1063722171 · Specialist · Cambridge, MD
Blackwater Medical Associates, LLC is a Specialist organization in Cambridge, MD (NPI 1063722171).
Provider details
- NPI number
- 1063722171
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mark Malkus, President(410) 228-1068
- License
- D0080504 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
408 Byrn St
Cambridge, MD 21613-1910
Phone: (410) 228-1068
Fax: (410) 228-6338
Street-level locationGet directions
Mailing address
408 Byrn St
Cambridge, MD 21613-1910
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2010-10-08
Frequently asked questions
- What is Blackwater Medical Associates, LLC's NPI number?
- Blackwater Medical Associates, LLC's National Provider Identifier (NPI) is 1063722171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackwater Medical Associates, LLC?
- Blackwater Medical Associates, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Blackwater Medical Associates, LLC located?
- Blackwater Medical Associates, LLC's practice location on file with NPPES is 408 Byrn St, Cambridge, MD 21613-1910.
- What is Blackwater Medical Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Blackwater Medical Associates, LLC is (410) 228-1068.
- Who is the authorized official for Blackwater Medical Associates, LLC?
- The authorized official listed on Blackwater Medical Associates, LLC's NPPES record is Mark Malkus, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackwater Medical Associates, LLC's NPI active?
- Yes — Blackwater Medical Associates, LLC's NPI (1063722171) is active in the NPPES registry as of the last update on 2010-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.