South River Internal Medicine, PA
NPI 1710131024 · Internal Medicine Physician · Edgewater, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South River Internal Medicine, PA is a Internal Medicine Physician organization in Edgewater, MD (NPI 1710131024).
Provider details
- NPI number
- 1710131024
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renee Nye, Ama/Front Office Manager(410) 956-1600
- License
- D58166 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Registry dates
- Enumerated
- 2008-11-13
- Last updated
- 2024-09-02
- Certified
- 2024-09-02
Frequently asked questions
- What is South River Internal Medicine, PA's NPI number?
- South River Internal Medicine, PA's National Provider Identifier (NPI) is 1710131024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South River Internal Medicine, PA?
- South River Internal Medicine, PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is South River Internal Medicine, PA located?
- South River Internal Medicine, PA's practice location on file with NPPES is 3168 Braverton St Ste 250, Edgewater, MD 21037-2682.
- What is South River Internal Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for South River Internal Medicine, PA is (410) 956-1600.
- Does South River Internal Medicine, PA accept Medicare?
- South River Internal Medicine, PA 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 South River Internal Medicine, PA?
- The authorized official listed on South River Internal Medicine, PA's NPPES record is Renee Nye, Ama/Front Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South River Internal Medicine, PA's NPI active?
- Yes — South River Internal Medicine, PA's NPI (1710131024) is active in the NPPES registry as of the last update on 2024-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.