PANDORA FAMILY MEDICINE
NPI 1285346551
Family Medicine in University Park, MD

Active since December 19, 2022CLIA 21D2279091 · Microscopy
6300 BALTIMORE AVE STE 1, UNIVERSITY PARK, MD 20782(301) 200-0960(250) 999-6514 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2023, Jan 26, 2023, Dec 19, 2022 (3 updates tracked since 2022).

About Pandora Family Medicine NPPES

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

PANDORA FAMILY MEDICINE (NPI 1285346551) is a healthcare organization registered as a family medicine in University Park, Maryland and active in the NPI registry since December 2022. The organization holds a CLIA Microscopy certificate valid through March 28, 2027 and lists Rachel Gougian, Owner, as its authorized official.

NPPES Registry Identity

NPI1285346551
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePANDORA FAMILY MEDICINE
Location Address6300 BALTIMORE AVE STE 1University Park, MD 20782-2123
Mailing Address6300 Baltimore Ave Ste 1University Park, MD 20782-2123 · (301) 200-0960 · Fax (250) 999-6514
Fax(250) 999-6514
Organization SubpartNo
Authorized OfficialRachel GougianOwner · (978) 302-8798
Enumeration DateDecember 19, 2022
Last NPPES UpdateFebruary 21, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1285346551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6300 BALTIMORE AVE STE 1, University Park, MD 20782

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pandora Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pandora Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1528420387
6300 BALTIMORE AVE STE 1
University Park, MD 20782
(301) 200-0960
✔ PECOS✔ Accepts MedicareSame address

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

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 for Provider-Performed Microscopy Procedures (PPMP) 21D2279091

Pandora Family Medicine LLC · University Park, MD
Active · expires Mar 28, 2027
CLIA Number21D2279091
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorRachel Gougian
Laboratory Phone(301) 200-0960
Laboratory LocationPandora Family Medicine LLC6300 Baltimore Ave, University Park, MD 20782
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Pandora Family Medicine's NPI number?

The NPI number for Pandora Family Medicine is 1285346551. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Pandora Family Medicine located?

Pandora Family Medicine is located at 6300 Baltimore Ave Ste 1, University Park, MD 20782. The listed phone number is (301) 200-0960.

What is Pandora Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pandora Family Medicine enrolled in Medicare?

Yes. Pandora Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pandora Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pandora Family Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pandora Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2279091) is associated with this NPI, valid through March 28, 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 Pandora Family Medicine was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.