LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC
NPI 1174314496
Pediatrics in Baltimore, MD

Q: What is Lifebridge Suburban Physician Group II LLC's specialty?

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

Active since May 15, 2025

2401 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 308-7865(410) 308-7818 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lifebridge Suburban Physician Group Ii Llc NPPES

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

LIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC (NPI 1174314496) is a healthcare organization registered as a pediatrics in Baltimore, Maryland and active in the NPI registry since May 2025. The organization lists Mary Rebecca Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1174314496

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameLIFEBRIDGE SUBURBAN PHYSICIAN GROUP II LLC

Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216

Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216 · (410) 308-7865 · Fax (410) 308-7818

Phone(410) 308-7865

Fax(410) 308-7818

Organization SubpartNo

Authorized OfficialMary Rebecca Wright-siskDirector · (443) 422-9941

Enumeration DateMay 15, 2025

NPPES CertifiedMay 15, 2025

✔ NPI 1174314496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

2401 W BELVEDERE AVE, Baltimore, MD 21215

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Other Names 1

Other NameDr. Gaurav Kumar At Belvedere

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KRISTEN MARLL

Nurse Anesthetist, Certified Registered

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 601-5209

ANDREW BRAVE CRNP

Nurse Practitioner (Family)

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 601-9000

DR. CHRISTIAN KADIRI MD

Internal Medicine

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 601-0594

SNJEZANA JANKOVIC NP

Nurse Practitioner (Family)

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 601-9802

KATHRYN KEMP

Pediatrics (Pediatric Critical Care Medicine)

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 601-9000

YULANDA BLACKSTON LGPC

Counselor (Professional)

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 459-3040

DUNCAN MCELFRESH CRNA

Nurse Anesthetist, Certified Registered

2401 W BELVEDERE AVE, ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215

Baltimore City (410) 601-5209

MRS. KERRY SWEENEY MCCARTNEY FNP

Nurse Practitioner (Family)

2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Baltimore City (410) 601-5373

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 Lifebridge Suburban Physician Group II LLC's NPI number?

The NPI number for Lifebridge Suburban Physician Group II LLC is 1174314496. It was assigned to this organization in the NPPES registry on May 15, 2025. The provider is also known as Dr. Gaurav Kumar at Belvedere.

Where is Lifebridge Suburban Physician Group II LLC located?

Lifebridge Suburban Physician Group II LLC is located at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 308-7865.

What is Lifebridge Suburban Physician Group II LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifebridge Suburban Physician Group II LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.