Southern Maryland Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN MARYLAND MEDICAL GROUP LLC

Practice address

6510 Kenilworth Ave Ste 1400
Riverdale, MD 20737-1339

Phone

(301) 618-0771

NPI assigned

Jan 9, 2025

Organization subpart

Yes

Parent organization

SOUTHERN MARYLAND MEDICAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Girish Sadashiva Rao, MD

Title

Partner

Phone

(301) 452-7945

Specialties & licenses 1

Addresses

Tax ID family

Southern Maryland Med GRP3 organizations share this tax ID, including this one

Part of

Southern Maryland Med GRP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Maryland Medical Group LLC

  • Internal Medicine Physician
  • Greenbelt, MD
  • NPI 1548070881
  NPD tax ID
• Southern Maryland Medical Group LLC

  • Internal Medicine Physician
  • Camp Springs, MD
  • NPI 1942448113
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southern Maryland Medical Group LLC

  • Internal Medicine Physician
  • Camp Springs, MD
  • NPI 1942448113
  NPPES parent name

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1215747563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 1200",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703556",
            "telephone_number": "301-486-7580",
            "fax_number": "301-486-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE STE 1400",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-618-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MARYLAND MEDICAL GROUP LLC",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_middle_name": "SADASHIVA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-452-7945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sims Integrative Medical Solutions
• Latoya Denise Singleton
• Latasha Monique Snell Gatling
• Augustine Osabii Sob, HHA
• Rosette Sontia
• Toyosi Olabisi Sowemimo
• Spectrum of Hope-Health Wellness and Community Services
• Katia R Stewart, M.D.
• Clayton W Straughn, M.D.
• Kimberly Street, P.T.

• Internal Medicine Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.