NPIMap

Organization Active NPI

Sailwinds Medical, LLC

  • Internal Medicine Physician
  • Cambridge, MD
National Provider Identifier
1417660606
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAILWINDS MEDICAL, LLC
Practice address
1000 Goodwill Ave
Cambridge, MD 21613-2972
Phone
(443) 972-4204
Fax
(443) 733-4435
NPI assigned
Jan 3, 2023
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Brandon McMullen, PA-CNPI 1588937296
Title
President
Phone
(443) 972-4204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Urgent Care Clinic/Center 261QU0200X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1000 Goodwill Ave
Cambridge, MD 21613-2972

Mailing address

1000 Goodwill Ave
Cambridge, MD 21613-2972
Phone (443) 972-4204

Other practice location 1

560 Riverside Dr Ste A106
Salisbury, MD 21801-4702
Phone (443) 972-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230410001511 MD Part B Supplier - Clinic/Group Practice 6901271717 Receives reassigned benefits from 8 practitioners
Practice locations: Cambridge, MD

National Provider Directory

National Provider Directory

Locations

560 Riverside Dr
#A103A106
Salisbury, MD 21801

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1417660606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GOODWILL AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132972",
            "telephone_number": "443-972-4204",
            "fax_number": "443-733-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GOODWILL AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132972",
            "telephone_number": "443-972-4204",
            "fax_number": "443-733-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Riverside Dr Ste A106",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014702",
            "country_code": "US",
            "telephone_number": "443-972-4204",
            "fax_number": "443-733-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAILWINDS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-972-4204",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.