CALVERT INTERNAL MEDICINE GROUP PA NPI 1174682298

NPI Information

  • NPI: 1174682298
  • Provider Name: CALVERT INTERNAL MEDICINE GROUP PA
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 21D0689728
  • Address: 985 PRINCE FREDERICK BLVD STE 201
    PRINCE FREDERICK, MD
    ZIP 20678
  • Phone: (410) 535-2005

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NPI Details

CALVERT INTERNAL MEDICINE GROUP PA is an internal medicine in Prince Frederick, MD. The provider is 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. CALVERT INTERNAL MEDICINE GROUP PA NPI is 1174682298. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

985 PRINCE FREDERICK BLVD STE 201
PRINCE FREDERICK, MD
ZIP 20678-492
Phone: (410) 535-2005
Fax: (410) 535-4761

The provider's authorized official is Jonathan Lowenthal .
The authorized official title is President and has the following contact phone number (410) 535-2005.

The CLIA number assigned to this NPI record is 21D0689728 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C041OTHERDISTRICT OF COLUMBIACAREFIRST OF DC
2256411400MEDICAIDMARYLAND
3KB03OTHERMARYLANDCAREFIRST OF MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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