ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA
NPI 1356643035
Pediatrics in Columbia, MD
About Ellicott City Primary Care Physicians, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA (NPI 1356643035) is a healthcare organization registered as a pediatrics in Columbia, Maryland and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Nadeem Anwar Hashmi, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 7
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellicott City Primary Care Physicians, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ellicott City Primary Care Physicians, PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 of Waiver 21D2038327
Ellicott City Primary Care Physicians, PA · Columbia, MDFrequently 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 Ellicott City Primary Care Physicians, PA's NPI number?
The NPI number for Ellicott City Primary Care Physicians, PA is 1356643035. It was assigned to this organization in the NPPES registry on December 1, 2010.
Where is Ellicott City Primary Care Physicians, PA located?
Ellicott City Primary Care Physicians, PA is located at 10910 Little Patuxent Parkway #200, Columbia, MD 21044. The listed phone number is (410) 997-2770.
What is Ellicott City Primary Care Physicians, PA's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ellicott City Primary Care Physicians, PA enrolled in Medicare?
Yes. Ellicott City Primary Care Physicians, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellicott City Primary Care Physicians, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ellicott City Primary Care Physicians, PA, in Family Practice and Pediatric 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ellicott City Primary Care Physicians, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2038327) is associated with this NPI, valid through March 18, 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 Ellicott City Primary Care Physicians, PA was last updated on September 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ellicott City Primary Care Physicians, Pa · NPI 1356643035
Pediatrics organization in Columbia, Maryland. Organization record, active in the CMS NPPES registry since December 1, 2010.
## Identity
- **NPI:** 1356643035 (Entity type: Organization)
- **Enumerated:** December 1, 2010
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Nadeem Hashmi, VICE PRESIDENT
## Practice location
- **Address:** 10910 LITTLE PATUXENT PARKWAY, #200, Columbia, MD 21044
- **Phone:** (410) 997-2770 · **Fax:** (410) 997-0066
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Pediatric Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2016
- **Other identifiers:** Medicaid 415060102 (MD); Medicaid 419513200 (MD); Medicare OSCAR/certification 771507601166 (MD); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356643035) · Data from the CMS NPPES public registry.