COMPLETE CARE FOR KIDS
NPI 1285760199
Preferred Provider Organization in Germantown, MD

Active since February 26, 2007CLIA 21D1024819 · Waiver
19703 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874(301) 540-5900 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Complete Care For Kids NPPES

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

COMPLETE CARE FOR KIDS (NPI 1285760199) is a healthcare organization registered as a preferred provider organization in Germantown, Maryland and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Kimberly Foster, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285760199
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameCOMPLETE CARE FOR KIDS
Location Address19703 EXECUTIVE PARK CIRGermantown, MD 20874-2639
Mailing Address19703 Executive Park CirGermantown, MD 20874-2639 · (301) 540-5900
Organization SubpartNo
Authorized OfficialKimberly FosterOffice Manager · (301) 540-5900
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 14, 2013
NPI 1285760199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in MD · D0055283
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Also ListedSpecialistTaxonomy 174400000X · License D0057921 (MD)
19703 EXECUTIVE PARK CIR, Germantown, MD 20874

Other Identifiers 3

MedicaidD0055283MD
MedicaidD0069692MD
MedicaidDOO57921MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 21D1024819

Complete Care For Kids · Germantown, MD
Active · expires Apr 21, 2028
CLIA Number21D1024819
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorMisha P. Martin
Laboratory Phone(301) 540-5900
Laboratory LocationComplete Care For Kids12850 Middlebrook Rd Ste 200, Germantown, MD 20874
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Adult Health)
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Clinic/Center (Mental Health (Including Community Mental Health Center))
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Nurse Practitioner (Psychiatric/Mental Health)
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Pediatrics
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Nurse Practitioner (Family)
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Internal Medicine
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Internal Medicine
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874
Family Medicine
19703 EXECUTIVE PARK CIR
GERMANTOWN, MD 20874

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 Complete Care For Kids's NPI number?

The NPI number for Complete Care For Kids is 1285760199. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Complete Care For Kids located?

Complete Care For Kids is located at 19703 Executive Park Cir, Germantown, MD 20874. The listed phone number is (301) 540-5900.

What is Complete Care For Kids's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Complete Care For Kids hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1024819) is associated with this NPI, valid through April 21, 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 Complete Care For Kids was last updated on March 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.