Organization Active NPI

Rita Shkullaku MD PC

  • Internal Medicine Physician
  • Edgewater, MD
National Provider Identifier
1073993796
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0074339 Issued in MD
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

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rita J Shkullaku, MDNPI 1699900522
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
D0074339OtherMDOWNER STATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.