Active NPI
Liberty Medical Group LLC
- Internal Medicine Physician
- Lusby, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LIBERTY MEDICAL GROUP LLC
- Practice address
- 225 Town Square Dr Ste 2
Lusby, MD 20657-6535 - Phone
- (443) 899-9525
- NPI assigned
- Jun 22, 2026
- Last updated
- Jun 22, 2026
- 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
- Samuel Nokuri
- Title
- Owner
- Phone
- (240) 401-6126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
225 Town Square Dr Ste 2
Lusby, MD 20657-6535
Mailing address
225 Town Square Dr Ste 2
Lusby, MD 20657-6535
Phone (443) 899-9525
National Provider Directory
National Provider DirectoryLocations
225 Town Square Dr
Ste 2
Lusby, MD 20657
Phone (410) 326-8100
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Columbia, MD
- NPI 1730360587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1184550709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 TOWN SQUARE DR STE 2",
"city": "LUSBY",
"state": "MD",
"postal_code": "206576535",
"telephone_number": "443-899-9525",
"fax_number": "833-605-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 TOWN SQUARE DR STE 2",
"city": "LUSBY",
"state": "MD",
"postal_code": "206576535",
"telephone_number": "443-899-9525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "NOKURI",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-401-6126"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lusby, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.