What is Medstar Medical Group - Southern Maryland LLC's NPI number?

Medstar Medical Group - Southern Maryland LLC's National Provider Identifier (NPI) is 1831592211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Medstar Medical Group - Southern Maryland LLC?

Medstar Medical Group - Southern Maryland LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Medstar Medical Group - Southern Maryland LLC located?

Medstar Medical Group - Southern Maryland LLC's practice location on file with NPPES is 24035 Three Notch Road, Hollywood, MD 20636-4871.

What is Medstar Medical Group - Southern Maryland LLC's phone number?

The practice phone number listed in the NPPES registry for Medstar Medical Group - Southern Maryland LLC is (301) 373-7900.

Does Medstar Medical Group - Southern Maryland LLC accept Medicare?

Medstar Medical Group - Southern Maryland 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 Medstar Medical Group - Southern Maryland LLC?

The authorized official listed on Medstar Medical Group - Southern Maryland LLC's NPPES record is Eric Wagner, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Medstar Medical Group - Southern Maryland LLC's NPI active?

Yes — Medstar Medical Group - Southern Maryland LLC's NPI (1831592211) is active in the NPPES registry as of the last update on 2026-03-12.

OrganizationActiveAccepts Medicare

Medstar Medical Group - Southern Maryland LLC

NPI 1831592211 · Internal Medicine Physician · Hollywood, MD

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Medstar Medical Group - Southern Maryland LLC is a Internal Medicine Physician organization in Hollywood, MD (NPI 1831592211).

Provider details

NPI number: 1831592211
Entity type: Organization
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Eric Wagner, Executive Vice President(410) 772-6595

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000X
Allopathic & Osteopathic Physicians
Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Anatomic Pathology & Clinical Pathology Physician207ZP0102X
Allopathic & Osteopathic Physicians
Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000X

Profile Score

Detailed profile(84/100 index)

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

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
25 documented practice locations

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

24035 Three Notch Road

Hollywood, MD 20636-4871

Phone: (301) 373-7900

Fax: (301) 373-6900

Street-level locationGet directions

More MD providers

Mailing address

24035 Three Notch Rd

Hollywood, MD 20636-4871

Other names (DBA / former)

Doing business as: Medstar Shah Medical Group, LLC

Additional practice locations (24)

108 Forbes St 2nd Floor
Annapolis, MD 21401-1502
Phone: (410) 571-7880
Fax: (109) 406-5384
14300 Gallant Fox Lane Suite 123
Bowie, MD 20715-1001
Phone: (301) 860-1310
Fax: (301) 860-1331
7704 Matapeake Business Dr Suite 325
Brandywine, MD 20613-3043
Phone: (240) 244-5151
Fax: (240) 244-5131
23415 Three Notch Rd 2051
California, MD 20619-4018
Phone: (301) 373-7800
Fax: (301) 373-6800
22590 Shady Court
California, MD 20619-5009
Phone: (301) 737-0500
Fax: (301) 373-3351
37767 Market Dr 2nd Floor
Charlotte Hall, MD 20622-3188
Phone: (301) 884-7330
Fax: (301) 884-7530
10403 Hospital Dr 102
Clinton, MD 20735-3134
Phone: (301) 531-9190
Fax: (301) 531-9191
2200 Defense Hwy Suite 103

Enumerated: 2014-09-30
Last updated: 2026-03-12
Certified: 2026-03-12

Frequently asked questions

What is Medstar Medical Group - Southern Maryland LLC's NPI number?: Medstar Medical Group - Southern Maryland LLC's National Provider Identifier (NPI) is 1831592211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Medstar Medical Group - Southern Maryland LLC?: Medstar Medical Group - Southern Maryland LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Medstar Medical Group - Southern Maryland LLC located?: Medstar Medical Group - Southern Maryland LLC's practice location on file with NPPES is 24035 Three Notch Road, Hollywood, MD 20636-4871.
What is Medstar Medical Group - Southern Maryland LLC's phone number?: The practice phone number listed in the NPPES registry for Medstar Medical Group - Southern Maryland LLC is (301) 373-7900.
Does Medstar Medical Group - Southern Maryland LLC accept Medicare?: Medstar Medical Group - Southern Maryland 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 Medstar Medical Group - Southern Maryland LLC?: The authorized official listed on Medstar Medical Group - Southern Maryland LLC's NPPES record is Eric Wagner, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Medstar Medical Group - Southern Maryland LLC's NPI active?: Yes — Medstar Medical Group - Southern Maryland LLC's NPI (1831592211) is active in the NPPES registry as of the last update on 2026-03-12.

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