NPIMap

Organization Active NPI

Southern Maryland Medical Group LLC

  • Internal Medicine Physician
  • Camp Springs, MD
National Provider Identifier
1942448113
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHERN MARYLAND MEDICAL GROUP LLC
Practice address
5801 Allentown Rd Ste 400
Camp Springs, MD 20746-4585
Phone
(301) 868-0150
Fax
(301) 868-0243
NPI assigned
Jan 27, 2009
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Girish Sadashiva Rao, MDNPI 1114335064
Title
Managing Physician
Phone
(301) 552-1200

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5801 Allentown Rd Ste 400
Camp Springs, MD 20746-4585

Mailing address

7500 Greenway Center Dr Ste 1200
Greenbelt, MD 20770-3556
Phone (301) 486-7580

Other practice location 1

7500 Greenway Center Dr Ste 1200
Greenbelt, MD 20770-3556
Phone (301) 486-7580

Other practice location 2

6510 Kenilworth Ave Ste 1400
Riverdale, MD 20737-1339
Phone (301) 618-0771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090427000284 DC Part B Supplier - Clinic/Group Practice 5395893655 Receives reassigned benefits from 22 practitioners
Practice locations: Camp Springs, MD; Greenbelt, MD; Riverdale, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2114281Southern Maryland Medical Group5801 Allentown Road #400, Camp Springs, MD 20746Certificate of waiverJun 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Southern Maryland Medical Group LLC3 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

5801 Allentown Rd
Ste 100
Camp Springs, MD 20746

5801 Allentown Rd
Ste 400
Camp Springs, MD 20746
Phone (301) 868-0150

10403 Hospital Dr
Ste G6
Clinton, MD 20735
Phone (301) 856-6000

7700 Old Branch Ave
Ste B201
Clinton, MD 20735
Phone (202) 367-3927

7219 Hanover Pkwy
Greenbelt, MD 20770
Phone (301) 220-1010

7500 Greenway Center Dr
Ste 1200
Greenbelt, MD 20770
Phone (301) 486-7580

5801 Allentown Rd
Ste 500
Suitland, MD 20746
Phone (301) 899-7713

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 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1942448113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 1200",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703556",
            "telephone_number": "301-486-7580",
            "fax_number": "301-486-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 400",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464585",
            "telephone_number": "301-868-0150",
            "fax_number": "301-868-0243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Greenway Center Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703556",
            "country_code": "US",
            "telephone_number": "301-486-7580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6510 Kenilworth Ave Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371339",
            "country_code": "US",
            "telephone_number": "301-618-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_middle_name": "SADASHIVA",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "301-552-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.