Active NPI
Rita Shkullaku MD PC
- Internal Medicine Physician
- Edgewater, MD
National Provider Identifier
1073993796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0074339
- Legal business name
- RITA SHKULLAKU MD PC
- Practice address
- 3179 Braverton St Ste 202
Edgewater, MD 21037-2667 - Phone
- (410) 934-0650
- NPI assigned
- Jun 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rita J Shkullaku, MD
- Title
- Sole Owner
- Phone
- (410) 897-9841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0074339 | MD | Primary |
Addresses
Primary practice location
3179 Braverton St Ste 202
Edgewater, MD 21037-2667
Mailing address
718 Peggy Stewart CT
Davidsonville, MD 21035-1335
Phone (410) 934-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0074339 | Other | MD | OWNER STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
3179 Braverton St
Ste 202
Edgewater, MD 21037
Phone (240) 515-6550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1699900522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1073993796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 PEGGY STEWART CT",
"city": "DAVIDSONVILLE",
"state": "MD",
"postal_code": "210351335",
"telephone_number": "410-934-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3179 BRAVERTON ST STE 202",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372667",
"telephone_number": "410-934-0650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITA SHKULLAKU MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-08",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "SHKULLAKU",
"authorized_official_first_name": "RITA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "410-897-9841",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0074339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWNER STATE LICENSE",
"identifier": "D0074339",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.