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DR. PEDRO SARMIENTO JR. M.D.
NPI 1134102767
Pediatrics in Waldorf, MD

Active since November 29, 2005PECOS Enrolled
11885 HOLLY LANE, SUITE 1, WALDORF, MD 20601(301) 932-5299(301) 645-9442 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pedro Sarmiento Jr. M.d. NPPES

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

DR. PEDRO SARMIENTO JR. M.D. (NPI 1134102767) is an individual pediatrics provider in Waldorf, Maryland, licensed in Maryland (D0039620) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134102767
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PEDRO SARMIENTO JR.Credential: M.D.
Location Address11885 HOLLY LANE, SUITE 1Waldorf, MD 20601
Mailing Address11885 Holly Ln, Suite 1Waldorf, MD 20601-3181 · (301) 932-5299 · Fax (301) 645-9442
Phone(301) 932-5299
Fax(301) 645-9442
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateDecember 17, 2014
✔ NPI 1134102767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0039620
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11885 HOLLY LANE, Waldorf, MD 20601
Open in Google Maps ↗

Other Identifiers 4

Other188876-192159VA · Bcbs Va Pin For Pediatric After Hours
Other5228-0007DC · Bcbs Nca Pin For Pediatric After Hours
OtherKH18PE-52297105MD · Bcbs Md Pin For Pediatric After Hours
Other1982753877MD · Group Npi For Pediatric After Hours

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pedro Sarmiento Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pedro Sarmiento reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
20 mi
Internal Medicine
1145 19TH ST NW, SUITE 311
Washington, DC 20036
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
NPI 1376887844 (202) 429-2401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pedro Sarmiento's NPI number?

The NPI number for Pedro Sarmiento is 1134102767. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Pedro Sarmiento located?

Pedro Sarmiento practices at 11885 Holly Lane Suite 1, Waldorf, MD 20601. The listed phone number is (301) 932-5299.

What is Pedro Sarmiento's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pedro Sarmiento enrolled in Medicare?

Yes. Pedro Sarmiento is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pedro Sarmiento's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Sarmiento reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Sarmiento's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro Sarmiento was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.