CATONSVILLE PRIMARY CARE CENTER, PA
NPI 1336136035
Pediatrics in Catonsville, MD

Active since September 29, 2005CLIA 21D0219057 · Microscopy
405 FREDERICK RD, SUITE 210, CATONSVILLE, MD 21228(410) 788-6565(410) 747-4688 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Catonsville Primary Care Center, Pa NPPES

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

CATONSVILLE PRIMARY CARE CENTER, PA (NPI 1336136035) is a healthcare organization registered as a pediatrics in Catonsville, Maryland and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through July 11, 2027 and lists Nancy L Sullivan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336136035
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCATONSVILLE PRIMARY CARE CENTER, PA
Location Address405 FREDERICK RD, SUITE 210Catonsville, MD 21228-4645
Mailing Address405 Frederick Rd, Suite 210Catonsville, MD 21228-4645 · (410) 788-6565 · Fax (410) 747-4688
Fax(410) 747-4688
Organization SubpartNo
Authorized OfficialNancy L SullivanAdministrator · (410) 788-6565
Enumeration DateSeptember 29, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1336136035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedInternal MedicineTaxonomy 207R00000X
405 FREDERICK RD, Catonsville, MD 21228

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

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) 21D0219057

Catonsville Primary Care Center PA · Catonsville, MD
Active · expires Jul 11, 2027
CLIA Number21D0219057
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorPaul R. Miller MD
Laboratory Phone(410) 788-6565
Laboratory LocationCatonsville Primary Care Center PA405 Frederick Road Ste 210, Catonsville, MD 21228
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.

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
405 FREDERICK RD, SUITE 251
BALTIMORE, MD 21228
Specialist
405 FREDERICK RD, SUITE 102
CATONSVILLE, MD 21228
Clinic/Center (Dental)
405 FREDERICK RD, SUITE 150
CATONSVILLE, MD 21228
Dentist (General Practice)
405 FREDERICK RD, SUITE #108
CATONSVILLE, MD 21228
Health Educator
405 FREDERICK RD
CATONSVILLE, MD 21228
Nurse Practitioner (Psychiatric/Mental Health)
405 FREDERICK RD, STE 162
CATONSVILLE, MD 21228
Pediatrics
405 FREDERICK RD, SUITE 210
CATONSVILLE, MD 21228
Internal Medicine
405 FREDERICK RD, SUITE 204
CATONSVILLE, MD 21228

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 Catonsville Primary Care Center, PA's NPI number?

The NPI number for Catonsville Primary Care Center, PA is 1336136035. It was assigned to this organization in the NPPES registry on September 29, 2005.

Where is Catonsville Primary Care Center, PA located?

Catonsville Primary Care Center, PA is located at 405 Frederick Rd Suite 210, Catonsville, MD 21228. The listed phone number is (410) 788-6565.

What is Catonsville Primary Care Center, PA's specialty?

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

Does Catonsville Primary Care Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0219057) is associated with this NPI, valid through July 11, 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 Catonsville Primary Care Center, PA was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.