Calverthealth Medical Group, LLC
NPI 1104663970 · Family Medicine Physician · Prince Frederick, MD
Calverthealth Medical Group, LLC is a Family Medicine Physician organization in Prince Frederick, MD (NPI 1104663970).
Provider details
- NPI number
- 1104663970
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Calvert Health System, Inc.
- Organization subpart
- Yes
- Authorized official
- Carolyn Heithaus, Cfo(410) 535-8236
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Calverthealth Medical Group, LLC's NPI number?
- Calverthealth Medical Group, LLC's National Provider Identifier (NPI) is 1104663970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Calverthealth Medical Group, LLC?
- Calverthealth Medical Group, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Calverthealth Medical Group, LLC located?
- Calverthealth Medical Group, LLC's practice location on file with NPPES is 625 Solomons Island Rd N, Prince Frederick, MD 20678-3915.
- What is Calverthealth Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Calverthealth Medical Group, LLC is (410) 414-2788.
- Who is the authorized official for Calverthealth Medical Group, LLC?
- The authorized official listed on Calverthealth Medical Group, LLC's NPPES record is Carolyn Heithaus, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Calverthealth Medical Group, LLC's NPI active?
- Yes — Calverthealth Medical Group, LLC's NPI (1104663970) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.