Organization Active NPI

Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1376887844
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDSTAR MEDICAL GROUP II LLC
Practice address
1145 19TH St NW
Suite 311
Washington, DC 20036-3701
Phone
(202) 429-2401
Fax
(202) 429-4341
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Edward M Miller, M.D.
Title
Vice President
Phone
(443) 725-8719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1145 19TH St NW
Suite 311
Washington, DC 20036-3701

Mailing address

8094 Sandpiper Cir
Suite O
Baltimore, MD 21236-4907
Phone (410) 933-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130117000347 MD Part B Supplier - Clinic/Group Practice 0547413825 Receives reassigned benefits from 3,046 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
O20130117000415 DC Part B Supplier - Clinic/Group Practice 0547413825 Receives reassigned benefits from 3,946 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 223)

102 Irving St NW
Fl 3
Washington, DC 20010

102 Irving St NW
Ste A101
Washington, DC 20010

106 Irving St NW
#2200N
Washington, DC 20010

106 Irving St NW
#4200N
Washington, DC 20010

106 Irving St NW
#4400N
Washington, DC 20010

106 Irving St NW
#G19
Washington, DC 20010

106 Irving St NW
#S205
Washington, DC 20010

106 Irving St NW
Fl 1
Washington, DC 20010

106 Irving St NW
Ste 121
Washington, DC 20010

106 Irving St NW
Ste 2100
Washington, DC 20010
Phone (202) 877-6526

106 Irving St NW
Ste 216
Washington, DC 20010
Phone (202) 877-5840

106 Irving St NW
Ste 216S
Washington, DC 20010

106 Irving St NW
Ste 2700
Washington, DC 20010
Phone (202) 723-5524

106 Irving St NW
Ste 301S
Washington, DC 20010

106 Irving St NW
Ste 3700
Washington, DC 20010
Phone (202) 723-1999

106 Irving St NW
Ste 410
Washington, DC 20010
Phone (202) 877-5122

106 Irving St NW
Ste 4200N
Washington, DC 20010

106 Irving St NW
Ste GA48
Washington, DC 20010

110 Irving St NW
#1
Washington, DC 20010
Phone (202) 877-2835

110 Irving St NW
#118
Washington, DC 20010

110 Irving St NW
#1A19
Washington, DC 20010
Phone (202) 877-5329

110 Irving St NW
#2149
Washington, DC 20010

110 Irving St NW
#2173
Washington, DC 20010

110 Irving St NW
#2A68
Washington, DC 20010

110 Irving St NW
#2A70
Washington, DC 20010

Practitioners & affiliated clinicians

Practitioners 3,512

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.

View all 3,512

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1376887844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8094 SANDPIPER CIR",
            "address_2": "SUITE O",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364907",
            "telephone_number": "410-933-2214",
            "fax_number": "410-933-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 311",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-429-2401",
            "fax_number": "202-429-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR MEDICAL GROUP II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-725-8719",
        "authorized_official_credential": "M.D."
    },
    "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 Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.