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NPI · 1710131024 · NPPES-sourced

South River Internal Medicine, PA

ActiveInternal Medicine
NPI Number
1710131024
Type 2 · Organisation
Taxonomy Code
207R00000X
Contact
(410) 956-1600
License MD · D58166
Last Updated
Enumerated
Primary practice addressMD · 21037-2682
3168 Braverton St Ste 250Edgewater, MD 21037-2682
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About this NPIWhat this record shows.

NPI 1710131024 is registered to South River Internal Medicine, PA, a healthcare organisation classified as "Internal Medicine" and located at 3168 Braverton St Ste 250 in Edgewater, Maryland. The organisation's authorised official is Renee Nye. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans South River Internal Medicine, PA accepts. To confirm in-network status with your specific health plan, contact South River Internal Medicine, PA directly at (410) 956-1600.

Frequently asked

Yes. NPI 1710131024 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (410) 956-1600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. South River Internal Medicine, PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207R00000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Internal Medicine providers in Maryland.

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