Active NPI
Anirudh Guduru
- Urology Physician
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0102410
- Practice address
- 1015 N Prince Frederick Blvd
Prince Frederick, MD 20678-3193 - Phone
- (410) 535-4116
- Fax
- (410) 414-8480
- NPI assigned
- Apr 4, 2020
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0102410 | MD | Primary |
Addresses
Primary practice location
1015 N Prince Frederick Blvd
Prince Frederick, MD 20678-3193
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other practice location 1
231 Albert Sabin Way
Cincinnati, OH 45267-2827
Phone (513) 558-3678
Other practice location 2
10 St. Patrick's Drive
Waldorf, MD 20603-4527
Phone (301) 705-7870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Saint Louis University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Prince Frederick Blvd
Prince Frederick, MD 20678-3193
Phone (301) 373-7900
950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients |
Locations
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
1015 Prince Frederick Blvd
Prince Frederick, MD 20678
Phone (410) 231-4666
10 Saint Patricks Dr
Fl 3
Waldorf, MD 20603
Phone (240) 448-2970
Interoperability endpoints
- anirudh.gudurumd.p2@direct.msmg.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedStar Shah Medical Group, LLC
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
dba Women's Health Center of Waldorf
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CalvertHealth Medical Center
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1356970057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 N PRINCE FREDERICK BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783193",
"telephone_number": "410-535-4116",
"fax_number": "410-414-8480"
}
],
"practiceLocations": [
{
"address_1": "231 Albert Sabin Way",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452672827",
"country_code": "US",
"telephone_number": "513-558-3678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 St. Patrick's Drive",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206034527",
"country_code": "US",
"telephone_number": "301-705-7870",
"fax_number": "301-705-7628",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUDURU",
"first_name": "ANIRUDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-04",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0102410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.