What is Blackwater Medical Associates, LLC's NPI number?

Blackwater Medical Associates, LLC's National Provider Identifier (NPI) is 1508986092, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).

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 (1508986092) is active in the NPPES registry as of the last update on 2020-08-22.

OrganizationActive

Blackwater Medical Associates, LLC

NPI 1508986092 · Family Medicine Physician · Cambridge, MD

Blackwater Medical Associates, LLC is a Family Medicine Physician organization in Cambridge, MD (NPI 1508986092).

Provider details

NPI number: 1508986092
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Mark Malkus, President(410) 228-1068
License: D0050804 (MD)

Practice location

408 Byrn St

Cambridge, MD 21613-1910

Phone: (410) 228-1068

Street-level locationGet directions

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Mailing address

408 Byrn St

Cambridge, MD 21613-1910

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000XLicense D0050804 (MD)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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.

Enumerated: 2007-03-30
Last updated: 2020-08-22

Frequently asked questions

What is Blackwater Medical Associates, LLC's NPI number?: Blackwater Medical Associates, LLC's National Provider Identifier (NPI) is 1508986092, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
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 (1508986092) is active in the NPPES registry as of the last update on 2020-08-22.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions