NPIMap

Organization Active NPI

Gastro Center of Maryland LLC

  • Gastroenterology Physician
  • Columbia, MD
National Provider Identifier
1164609111
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0044427 Issued in MD
Legal business name
GASTRO CENTER OF MARYLAND LLC
Practice address
7120 Minstrel Way
Suite 100
Columbia, MD 21045-5248
Phone
(410) 290-6677
NPI assigned
Jan 22, 2008
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Rudra Rai, MD
Title
Owner/ President
Phone
(410) 290-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0044427 MD Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X

Addresses

Primary practice location

7120 Minstrel Way
Suite 100
Columbia, MD 21045-5248

Mailing address

7120 Minstrel Way Ste 100
Columbia, MD 21045-5274
Phone (410) 290-6677

Other identifiers 1

IdentifierTypeStateIssuer
282701800MedicaidMD

Other names 1

  • MidAtlantic Center for Digestive & Liver Dis Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060220000368 MD Part B Supplier - Clinic/Group Practice 7517972037 Receives reassigned benefits from 42 practitioners
Practice locations: Columbia, MD
O20200203002278 DC Part B Supplier - Clinic/Group Practice 7517972037 Receives reassigned benefits from 40 practitioners
Practice locations: Olney, MD

National Provider Directory

National Provider Directory

Locations

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

3405 Olandwood Ct
#102
Olney, MD 20832

3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1164609111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455274",
            "telephone_number": "410-290-6677",
            "fax_number": "410-290-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455248",
            "telephone_number": "410-290-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO CENTER OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "RUDRA",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "410-290-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0044427",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282701800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidAtlantic Center for Digestive & Liver Dis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.