SUSHMA BHASIN
NPI 1023570132
Pediatrics - Adolescent Medicine in Glen Burnie, MD

Active since April 05, 2019CLIA 21D2283773 · Waiver
331 OAK MANOR DR STE 203, GLEN BURNIE, MD 21061(410) 768-0700(410) 768-1143 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2019, Apr 5, 2019 (2 updates tracked since 2019).

About Sushma Bhasin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSHMA BHASIN (NPI 1023570132) is a healthcare organization registered as an adolescent medicine in Glen Burnie, Maryland and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Sushma Bhasin, Doctor, as its authorized official.

NPPES Registry Identity

NPI1023570132
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSUSHMA BHASIN
Location Address331 OAK MANOR DR STE 203Glen Burnie, MD 21061-5555
Mailing Address331 Oak Manor Dr Ste 203Glen Burnie, MD 21061-5555 · (410) 768-0700 · Fax (410) 768-1143
Fax(410) 768-1143
Organization SubpartNo
Authorized OfficialSushma BhasinDoctor · (410) 768-0700
Enumeration DateApril 5, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1023570132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

331 OAK MANOR DR STE 203, Glen Burnie, MD 21061

Other Identifiers 1

Medicaid1083661219MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2283773
Facility Type
Physician Office
Certificate Effective Date
June 13, 2025
Certificate Expiration Date
June 12, 2027
Laboratory Director
DR. SUSHMA BHASIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sushma Bhasin to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SUSHMA BHASIN

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
331 OAK MANOR DR STE 203
GLEN BURNIE, MD 21061
Pediatrics (Adolescent Medicine)
331 OAK MANOR DR STE 203
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023570132, enumerated as an "organization" on April 05, 2019.

The provider is located at 331 OAK MANOR DR STE 203 GLEN BURNIE, MD 21061 and the phone number is (410) 768-0700.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.