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Medstar Medical Group - Southern Maryland LLC

Internal Medicine Physician in Charlotte Hall, MD · enumerated 2025 · authorized official Alan Buster, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912704941

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Registry record

Entity type Organization (Type 2)
Legal business name Medstar Medical Group - Southern Maryland LLC
Other name <Unavail>
Practice address 37767 Market Dr 2nd Floor, Charlotte Hall, MD, 20622
Fax (301) 884-8663
Enumeration date Feb 27, 2025
Last updated in NPPES Aug 1, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Alan Buster
Title Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-08-01. Verify at npiregistry.cms.hhs.gov.
Where is Medstar Medical Group - Southern Maryland LLC located?
The practice location on file with NPPES is in Charlotte Hall, MD.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-01.