NPIMap

Organization Active NPI

Heart Center of Southern Maryland, L.L.P.

  • Cardiovascular Disease Physician
  • Waldorf, MD
National Provider Identifier
1669451175
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART CENTER OF SOUTHERN MARYLAND, L.L.P.
Practice address
3510 Old Washington Rd
Suite 100
Waldorf, MD 20602-3233
Phone
(301) 870-6002
Fax
(301) 843-7783
NPI assigned
Jan 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Gopalakrishnan Srinivasan, M.D.NPI 1740261924
Title
Owner/M.D.
Phone
(301) 932-5890

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

3510 Old Washington Rd
Suite 100
Waldorf, MD 20602-3233

Mailing address

3510 Old Washington Rd
Suite 100
Waldorf, MD 20602-3233
Phone (301) 870-6002

Other identifiers 3

IdentifierTypeStateIssuer
CC6769OtherRAILROAD MEDICARE
CJ4451OtherRAILROAD MEDICARE
040196000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040417000225 DC Part B Supplier - Clinic/Group Practice 5193710325 Receives reassigned benefits from 4 practitioners
Practice locations: Brandywine, MD; Clinton, MD
O20100115000348 MD Part B Supplier - Clinic/Group Practice 5193710325 Receives reassigned benefits from 5 practitioners
Practice locations: Clinton, MD; Waldorf, MD

National Provider Directory

National Provider Directory
Tax ID family
Heart Center of Southern Maryland LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

22576 MacArthur Blvd
California, MD 20619
Phone (301) 737-0500

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1669451175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 OLD WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023233",
            "telephone_number": "301-870-6002",
            "fax_number": "301-843-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 OLD WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023233",
            "telephone_number": "301-870-6002",
            "fax_number": "301-843-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF SOUTHERN MARYLAND, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "GOPALAKRISHNAN",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "301-932-5890",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ4451",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040196000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.