SOUTHERN MARYLAND MEDICAL GROUP LLC (NPI# 1942448113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942448113 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND MEDICAL GROUP LLC |
| Practice Address |
7500 Greenway Center Dr Ste 1200 Greenbelt MD 20770-3556 |
| Mailing Address |
8116 Good Luck Rd Ste 305 Lanham MD 20706-3508 |
| Practice Telephone | 3014867580 |
| Mailing Telephone | 3015521200 |
| Mailing Fax Number | 3015521202 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | GIRISH SADASHIVA RAO (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 3015521200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5801 Allentown Rd Ste 400, Camp Springs, MD 207464585 | 3018680150 | 3018680243 |
| 6510 Kenilworth Ave Ste 1400, Riverdale, MD 207371339 | 3016180771 | |
| 7305 Baltimore Ave Ste 104, College Park, MD 207403232 | 3014867581 | |
| 7500 Greenway Center Dr Ste 1200, Greenbelt, MD 207703556 | 3014867580 |
| Street Address |
7500 GREENWAY CENTER DR STE 1200 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017444 | Rebekah Kim | Internal Medicine | 7205 Hanover Pkwy, Greenbelt, MD 20770-2014 | 2017-04-19 |
| 1053500074 | Rukmini Madhuri Konatalapalli | Internal Medicine | 7300 Hanover Dr Ste 201, Greenbelt, MD 20770-2247 | 2007-10-16 |
| 1497941538 | Zerabruck Tesfamariam Tewelde | Internal Medicine | 7919 Greenbury Dr, Greenbelt, MD 20770-3043 | 2007-09-21 |
| 1811107543 | Maryland Cardiac & Medical Associates, PC. | Internal Medicine | 7227-b Hanover Parkway, Greenbelt, MD 20770 | 2007-05-23 |
| 1487684866 | A Abiodun Md Pa | Internal Medicine | 7207 Hanover Pkwy, Greenbelt, MD 20770-2015 | 2006-07-03 |
| 1366419566 | Renuka Gupta | Internal Medicine | 7215 Hanover Pkwy Ste D, Greenbelt, MD 20770-3626 | 2006-03-07 |
| 1467427120 | Sushil Rattan | Internal Medicine | 7305 Hanover Pkwy Ste A, Greenbelt, MD 20770-3665 | 2006-02-17 |
| 1639157118 | Meklit Workneh | Internal Medicine | 7705 Belle Point Dr, Greenbelt, MD 20770-3300 | 2006-01-05 |
| 1033604459 | Ibrahim Jalloh | Internal Medicine | 7500 Hanover Pkwy, Greenbelt, MD 20770-2010 | 2018-06-27 |
| 1699149013 | Greenway Family Medical Practice, LLC | Internal Medicine | 7525 Greenway Center Dr, 105, Greenbelt, MD 20770-3509 | 2015-11-23 |
| Find all providers in GREENBELT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.