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SOUTH RIVER PEDIATRICS
NPI 1124123716
Clinic/Center - Primary Care in Edgewater, MD

Active since September 14, 2006CLIA Certified · 2 labs
224 MAYO RD, EDGEWATER, MD 21037(410) 956-6303(410) 956-6637 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South River Pediatrics NPPES

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

SOUTH RIVER PEDIATRICS (NPI 1124123716) is a healthcare organization registered as a primary care in Edgewater, Maryland and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Azam Baig, Owner President, as its authorized official.

NPPES Registry Identity

NPI1124123716
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAZAM BAIG,M.D.
Location Address224 MAYO RDEdgewater, MD 21037-2951
Mailing Address224 Mayo RdEdgewater, MD 21037-2951 · (410) 956-6303 · Fax (410) 956-6637
Phone(410) 956-6303
Fax(410) 956-6637
Organization SubpartNo
Authorized OfficialAzam BaigOwner President · (410) 956-6303
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1124123716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D0020882
224 MAYO RD, Edgewater, MD 21037
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth River Pediatrics

Other Identifiers 8

Medicare UPINB70655MD
Medicaid181521100MD
Other88981MD · Mamsi
Other0701078005MD · Cigna
OtherC023MD · Captial Care/blue Choice
Other0453912MD · Aetna
Other2653AMH · Blue Cross/blue Shield
Other04531MD · Amerigroup

CLIA Laboratory Certificates CMS CLIA 2

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 21D2047627

South River Pediatrics- Dunkirk · Dunkirk, MD
Active · expires Sep 27, 2026
CLIA Number21D2047627
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorAzam Baig
Laboratory Phone(410) 956-6303
Laboratory LocationSouth River Pediatrics- Dunkirk10845 Towne Center Blvd, Dunkirk, MD 20754
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0214318

South River Pediatrics- Edgewater · Edgewater, MD
Active · expires Oct 2, 2026
CLIA Number21D0214318
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorAzam Baig MD
Laboratory Phone(410) 269-0676
Laboratory LocationSouth River Pediatrics- Edgewater224-A Mayo Road, Edgewater, MD 21037
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. KENNON HARRIS M.D.
Pediatrics
224 MAYO RD
EDGEWATER, MD 21037
Anne Arundel County (410) 956-6303
ALLISON LEE RAPP LCPC-S
Counselor (Professional)
224 MAYO RD, SUITE E
EDGEWATER, MD 21037
Anne Arundel County (443) 529-8348
HOLLY ANN MOHR MSRN PNP
Nurse Practitioner (Pediatrics)
224 MAYO RD
EDGEWATER, MD 21037
Anne Arundel County (410) 956-6303
MARINELA T MACARAEG MD
Pediatrics
224 MAYO RD
EDGEWATER, MD 21037
Anne Arundel County (410) 956-6303
CHILD PARENT COUNSELING
Counselor (Professional)
224 MAYO RD, SUITE E
EDGEWATER, MD 21037
Anne Arundel County (410) 858-4292
MRS. JESSICA GILES SEEN CRNP, CPNP-PC
Nurse Practitioner (Pediatrics)
224 MAYO RD
EDGEWATER, MD 21037
Anne Arundel County (410) 956-6302
CATHERINE SMITH-HEINE LCPC, NCC
Counselor (Mental Health)
224 MAYO RD, SUITE E
EDGEWATER, MD 21037
Anne Arundel County (410) 299-9504

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 Azam Baig,m.D.'s NPI number?

The NPI number for Azam Baig,m.D. is 1124123716. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as South River Pediatrics.

Where is Azam Baig,m.D. located?

Azam Baig,m.D. is located at 224 Mayo Rd, Edgewater, MD 21037. The listed phone number is (410) 956-6303.

What is Azam Baig,m.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Azam Baig,m.D. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Azam Baig,m.D. was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.