Medstar Medical Group - Southern Maryland LLC
NPI 1831592211ActiveOrganization· Internal Medicine· Hollywood, MD
Internal Medicine in Hollywood, Maryland, registered in NPPES in September 2014. The authorized official on file is Eric R. Wagner, Executive Vice President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1831592211 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2014 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (MD) |
|---|
Other Internal Medicine providers in Hollywood
- 1912002452
- 1659691012
- 1487688164
- 1386825271
- 1154356210
- 1982697793
- 1871518712
- 1811195936