Maryland Specialty Group LLC
NPI 1114362845 · Vascular Surgery Physician · Glenn Dale, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryland Specialty Group LLC is a Vascular Surgery Physician organization in Glenn Dale, MD (NPI 1114362845).
Provider details
- NPI number
- 1114362845
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Naomi Nwagwe, Billing Manager(301) 552-9495
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Ultima Care LLC
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2013-05-08
Frequently asked questions
- What is Maryland Specialty Group LLC's NPI number?
- Maryland Specialty Group LLC's National Provider Identifier (NPI) is 1114362845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryland Specialty Group LLC?
- Maryland Specialty Group LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Maryland Specialty Group LLC located?
- Maryland Specialty Group LLC's practice location on file with NPPES is 12200 Annapolis Rd, Glenn Dale, MD 20769-9182.
- What is Maryland Specialty Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Maryland Specialty Group LLC is (301) 552-9495.
- Does Maryland Specialty Group LLC accept Medicare?
- Maryland Specialty Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maryland Specialty Group LLC?
- The authorized official listed on Maryland Specialty Group LLC's NPPES record is Naomi Nwagwe, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryland Specialty Group LLC's NPI active?
- Yes — Maryland Specialty Group LLC's NPI (1114362845) is active in the NPPES registry as of the last update on 2013-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.