Active NPI
Medical Maryland Star Choice LLC
- Internal Medicine Physician
- Columbia, MD
National Provider Identifier
1770190647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL MARYLAND STAR CHOICE LLC
- Practice address
- 5999 Harpers Farm Rd Ste W230
Columbia, MD 21044-3025 - Phone
- (410) 383-2250
- Fax
- (410) 383-8378
- NPI assigned
- Sep 25, 2020
- Last updated
- Feb 8, 2023
- 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
- Kinan Knaish, MD
- Title
- Ceo
- Phone
- (410) 383-2250
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5999 Harpers Farm Rd Ste W230
Columbia, MD 21044-3025
Mailing address
5999 Harpers Farm Rd Ste W230
Columbia, MD 21044-3025
Phone (410) 383-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 31
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bel Air, MD
- NPI 1871920892
DC
-
- Internal Medicine Physician
- Steubenville, OH
- NPI 1497046007
DC, MD, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1770190647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5999 HARPERS FARM RD STE W230",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443025",
"telephone_number": "410-383-2250",
"fax_number": "410-383-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 HARPERS FARM RD STE W230",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443025",
"telephone_number": "410-383-2250",
"fax_number": "410-383-8378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL MARYLAND STAR CHOICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-25",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "KNAISH",
"authorized_official_first_name": "KINAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-383-2250",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.