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: August 16, 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 Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2283773

Sushma Bhasin MD · Glen Burnie, MD
Active · expires Jun 12, 2027
CLIA Number21D2283773
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorDr. Sushma Bhasin
Laboratory Phone(410) 768-0700
Laboratory LocationSushma Bhasin MD331 Oak Manor Dr #203, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sushma Bhasin's NPI number?

The NPI number for Sushma Bhasin is 1023570132. It was assigned to this organization in the NPPES registry on April 5, 2019.

Where is Sushma Bhasin located?

Sushma Bhasin is located at 331 Oak Manor Dr Ste 203, Glen Burnie, MD 21061. The listed phone number is (410) 768-0700.

What is Sushma Bhasin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Sushma Bhasin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2283773) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sushma Bhasin was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.