SUMMIT MEDICAL GROUP LLC NPI 1952970816

NPI Information

  • NPI: 1952970816
  • Provider Name: SUMMIT MEDICAL GROUP LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 21D1021899
  • Address: 6310 STEVENS FOREST RD STE 200
    COLUMBIA, MD
    ZIP 21046
  • Phone: (410) 740-9001

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NPI Details

SUMMIT MEDICAL GROUP LLC is a multi-specialty clinic center in Columbia, MD. SUMMIT MEDICAL GROUP LLC NPI is 1952970816. The provider is registered as an organization entity type.

The provider's business location address is:

6310 STEVENS FOREST RD STE 200
COLUMBIA, MD
ZIP 21046-068
Phone: (410) 740-9001
Fax: (410) 740-9005

The provider's authorized official is Njideka Udochi .
The authorized official title is Owner and has the following contact phone number (410) 245-2414.

The CLIA number assigned to this NPI record is 21D1021899 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2021 and was last updated on 12/13/2023.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1D00051897OTHERMARYLANDMD LICENSE
2685900301MEDICAIDMARYLAND

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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