CALVERTHEALTH MEDICAL GROUP – NPI #1386871390
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CALVERTHEALTH MEDICAL GROUP is a provider located in PRINCE FREDERICK, MD. NPPES has assigned the NPI number 1386871390 to CALVERTHEALTH MEDICAL GROUP on June 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CALVERTHEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is CALVERTHEALTH MEDICAL GROUP, LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Feb 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALVERTHEALTH MEDICAL GROUP below.

NPI Profile for
CALVERTHEALTH MEDICAL GROUP, LLC

NPI Number
1386871390
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALVERTHEALTH MEDICAL GROUP, LLC
Doing Business As (dba): CALVERTHEALTH MEDICAL GROUP
Other name(s)
All associated names:
Former Legal Business Name
Calvert Physician Associates, LLC
Doing Business As (dba)
CALVERTHEALTH MEDICAL GROUP
Primary location
100 HOSPITAL ROAD
PRINCE FREDERICK, MD 20678-4017
Phone: (410) 535-8248 Fax: (410) 535-8417
1 Other location(s):
110 Hospital Rd Ste 105
Prince Frederick, MD 20678-4043
Phone: (410) 414-9116
Mailing address
Same as primary location
Organization Subpart
Yes - CALVERTHEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
CAROLYN HEITHAUS
CFO
Phone: (410) 535-8236
Updated
Certification Date
Feb 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CALVERTHEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMD419328800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.