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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PM PEDIATRICS OF MARYLAND LLC
NPI 1023908969
Clinic/Center - Urgent Care in Rockville, MD

Active since July 03, 2025CLIA 21D2131436 · Waiver
12254 ROCKVILLE PIKE, ROCKVILLE, MD 20852(301) 230-2767 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 20, 2026, Jul 3, 2025 (2 updates tracked since 2025).

About Pm Pediatrics Of Maryland Llc NPPES

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

PM PEDIATRICS OF MARYLAND LLC (NPI 1023908969) is a healthcare organization registered as an urgent care in Rockville, Maryland and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Kristen Hanly, Director Of Rcm Operations, as its authorized official.

NPPES Registry Identity

NPI1023908969
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePM PEDIATRICS OF MARYLAND LLC
Location Address12254 ROCKVILLE PIKERockville, MD 20852-2421
Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 207-7936
Phone(301) 230-2767
Organization SubpartNo
Authorized OfficialKristen HanlyDirector Of Rcm Operations · (516) 207-7919
Enumeration DateJuly 3, 2025
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1023908969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
12254 ROCKVILLE PIKE, Rockville, MD 20852
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Other Names 1

Other NamePm Pediatrics Of Maryland - Rockville

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 21D2131436

Pm Pediatrics Of Maryland, LLC Rockville · Rockville, MD
Active · expires May 22, 2028
CLIA Number21D2131436
Laboratory TypeUrgent Care
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. David Mathison
Laboratory Phone(301) 230-2767
Laboratory LocationPm Pediatrics Of Maryland, LLC Rockville12254 Rockville Pike, Rockville, MD 20852
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ZHINGA MORRIS
Nurse Practitioner (Pediatrics)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
MARK GREGORY RODDY M.D.
Pediatrics (Pediatric Emergency Medicine)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
ELIANA HEEYUN KIM DO
Pediatrics
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
MS. VIRGINIA JEAN FULTON NP
Nurse Practitioner (Pediatrics)
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767
FUMITAKA SUGIGUCHI MD
Pediatrics
12254 ROCKVILLE PIKE
ROCKVILLE, MD 20852
Montgomery County (301) 230-2767

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 Pm Pediatrics Of Maryland LLC's NPI number?

The NPI number for Pm Pediatrics Of Maryland LLC is 1023908969. It was assigned to this organization in the NPPES registry on July 3, 2025. The provider is also known as PM Pediatrics of Maryland - Rockville.

Where is Pm Pediatrics Of Maryland LLC located?

Pm Pediatrics Of Maryland LLC is located at 12254 Rockville Pike, Rockville, MD 20852. The listed phone number is (301) 230-2767.

What is Pm Pediatrics Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Pm Pediatrics Of Maryland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2131436) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pm Pediatrics Of Maryland LLC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.