Active NPI
Medstar Medical Group II LLC
- General Practice Physician
- Prince Frederick, MD
National Provider Identifier
1528963626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDSTAR MEDICAL GROUP II LLC
- Practice address
- 1015 Prince Frederick Blvd
Prince Frederick, MD 20678-3193 - Phone
- (410) 535-4116
- Fax
- (410) 414-8480
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- 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
- Stephanie Schneider
- Title
- Vice President
- Phone
- (703) 558-1403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1015 Prince Frederick Blvd
Prince Frederick, MD 20678-3193
Mailing address
2233 Wisconsin Ave NW Ste 420
Washington, DC 20007-4122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1528963626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 WISCONSIN AVE NW STE 420",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200074122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 PRINCE FREDERICK BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783193",
"telephone_number": "410-535-4116",
"fax_number": "410-414-8480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSTAR MEDICAL GROUP II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "703-558-1403"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
- Robin E. Medic, MD
- Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
- Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
- Medstar Medical Group - Southern Maryland LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Bhargesh Pramodray Mehta, M.D.
- Melissa Shepard, MD, LLC
- Elena Mendez-Hutchinson, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.