Modern Med Consult LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MODERN MED CONSULT LLC

Practice address

1611 Rosemont Ave
Frederick, MD 21702-4134

Phone

(443) 338-0036

Fax

(240) 363-0007

NPI assigned

Apr 8, 2025

Last updated

Jul 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Calvin Richards, ND, PA-CNPI 1255882437

Title

Medical Director

Phone

(480) 382-5669

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Calvin Richards, ND, PA-C

  • Medical Physician Assistant
  • Hagerstown, MD
  • NPI 1255882437
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752364800000",
    "number": "1336933704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 BUCKEYSTOWN PIKE # 482",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "443-338-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 ROSEMONT AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024134",
            "telephone_number": "443-338-0036",
            "fax_number": "240-363-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MED CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-382-5669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, PA-C"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mitchell
• Mandy Mitchell, CRNP
• Meriam Nader Ragheb Mitry
• MNR Industries, LLC (ExpressCare of Urbana)
• Emily Christine Moats, LMSW
• Kathleen Marie Moe, MD
• Jason Moehringer, PSY.D.
• Michelle Moffet
• Marcus Mog
• Hamza Mohabbat

• Internal Medicine Physician in Frederick, MD
• Providers in Frederick, 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 Jul 13, 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.