Active NPI
Medstar Medical Group II LLC
- Internal Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba MMG Anesthesia Cfnrg
- Anesthesiology Physician
- Washington, DC
- NPI 1023836137
O20130117000415
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1205562816
O20130117000415
-
dba MMG Emergency Medicine Cfnrg
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1558189712
O20130117000415
-
- Anatomic Pathology Physician
- Washington, DC
- NPI 1578297503
O20130117000415
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
O20130117000415
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
O20130117000347, O20130117000415
National Provider Directory
National Provider DirectoryLocations (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.
-
- Nurse Practitioner
- Washington, DC
- NPI 1881788966
-
- Physician Assistant
- Washington, DC
- NPI 1639205529
-
- Vascular Surgery Physician
- Washington, DC
- NPI 1821222001
-
- Cardiovascular Disease Physician
- Washington, DC
- NPI 1326458621
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1073741450
-
- Obstetrics & Gynecology Physician
- Washington, DC
- NPI 1629156955
-
- Anesthesiology Physician
- Washington, DC
- NPI 1922036243
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1770974826
-
- Physician Assistant
- Washington, DC
- NPI 1417441940
-
- Body Imaging Physician
- Washington, DC
- NPI 1700224755
-
- Neurocritical Care Physician
- Washington, DC
- NPI 1770088478
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1063956498
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
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC (MMG Anesthesia Cfnrg)
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
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.