MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC – NPI #1689472193
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC is a provider located in LEONARDTOWN, MD. NPPES has assigned the NPI number 1689472193 to MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC on March 03, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Aug 20, 2025. 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 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC below.

NPI Profile for
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC

NPI Number
1689472193
Enumeration Date

(more than a year 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
MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC
Primary location
26840 POINT LOOKOUT ROAD
LEONARDTOWN, MD 20650-0664
Phone: (301) 475-5577 Fax: (301) 475-7419
Mailing address
24035 THREE NOTCH ROAD
HOLLYWOOD, MD 20636-4871
Phone: (301) 373-7900 Fax: (301) 373-6900
Organization Subpart
No
Authorized Official
ALAN BUSTER
CREDENTIALING
Phone: (301) 373-7905
Updated
Certification Date
Aug 20, 2025

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.

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.