Calverthealth Medical Group, LLC
NPI 1104663970ActiveOrganization· Family Medicine· Prince Frederick, MD
Family Medicine in Prince Frederick, Maryland, registered in NPPES in July 2024, part of Calvert Health System, Inc. The authorized official on file is Carolyn Heithaus, Cfo.
Overview
| NPI | 1104663970 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Calvert Health System, Inc. |
| NPI issued | Jul 10, 2024 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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