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Medstar Medical Group II LLC

Organization Active NPI General Practice Physician · Perry Hall, MD

NPI 1487326013 · NPPES record last updated Dec 5, 2024

Key facts

NPI
1487326013
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
MEDSTAR MEDICAL GROUP II LLC
Practice address
5009 Honeygo Center Dr Ste 210
Perry Hall, MD 21128-9842
Phone
(443) 725-2110
Fax
(443) 725-2115
NPI assigned
Oct 1, 2021
Organization subpart
No

Authorized official

Name
Stephanie Schneider
Title
Vice President
Phone
(703) 558-1403

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

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

Practitioners 3,726

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

View all 3,726

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220302000657 MD DME Supplier - Physician - General Practice 0547413825 Practice locations: Perry Hall, MD

National Provider Directory

Tax ID family
Medstar Medical Group II LLC (277 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

5009 Honeygo Center Dr Ste 210
Perry Hall, MD 21128-9842

Mailing address

3007 Tilden St NW Ste 5N
Washington, DC 20008-3030

Other names

  • MedStar Orthopaedic Institute at Perry Hall Other name

Other providers in Perry Hall, MD

All providers in Perry Hall, MD · General Practice Physician in Maryland

Sources for this page

Verify at the official NPI Registry.