Medstar Medical Group - Southern Maryland LLC

Organization Active NPI Internal Medicine Physician · Fort Washington, MD

NPI 1376340307 · NPPES record last updated Aug 1, 2025

Key facts

NPI
1376340307
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Practice address
950 E Swann Creek Rd
Fort Washington, MD 20744-5250
Phone
(301) 292-7270
Fax
(301) 292-6432
NPI assigned
Feb 27, 2025
Organization subpart
No

Authorized official

Name
Alan Adair Buster
Title
C.O.O.
Phone
(301) 373-7905

Corporate family (same tax ID) 29

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

View all 29

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Medstar Medical Group (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RN0300X
Clinical Pathology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207ZC0006X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X

Addresses

Primary practice location

950 E Swann Creek Rd
Fort Washington, MD 20744-5250

Mailing address

24035 Three Notch Road
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other names

  • MedStar Shah Medical Group LLC Doing business as

Other providers in Fort Washington, MD

All providers in Fort Washington, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.