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ADULT AND PEDIATRIC CLINIC, PC
NPI 1497935605
General Practice in Rockville, MD

Active since November 06, 2007CLIA 21D1037671 · Waiver
14816 PHYSICIANS LN, SUITE 152, ROCKVILLE, MD 20850(240) 453-0000(240) 453-0089 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adult And Pediatric Clinic, Pc NPPES

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

ADULT AND PEDIATRIC CLINIC, PC (NPI 1497935605) is a healthcare organization registered as a general practice in Rockville, Maryland and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Shama Mittal, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1497935605
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADULT AND PEDIATRIC CLINIC, PC
Location Address14816 PHYSICIANS LN, SUITE 152Rockville, MD 20850-3944
Mailing Address14816 Physicians Ln, Suite 152Rockville, MD 20850-3944 · (240) 453-0000 · Fax (240) 453-0089
Phone(240) 453-0000
Fax(240) 453-0089
Organization SubpartNo
Authorized OfficialShama MittalMedical Director · (240) 453-0000
Enumeration DateNovember 6, 2007
Last NPPES UpdateMay 14, 2008
✔ NPI 1497935605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · D0061382
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14816 PHYSICIANS LN, Rockville, MD 20850
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Other Identifiers 3

Medicare PING01826
Medicare UPING56524
Medicaid002543700MD

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 of Waiver 21D1037671

Adult And Pediatric Clinic PC · Rockville, MD
Active · expires Mar 1, 2027
CLIA Number21D1037671
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorShama R. Mittal
Laboratory Phone(240) 453-0000
Laboratory LocationAdult And Pediatric Clinic PC14816 Physicians Lane Ste 152, Rockville, MD 20850
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

JOAL ANN BENNETT-STENZEL MSW,LCSW-C, LICSW
Social Worker (Clinical)
14816 PHYSICIANS LN, SUITE 252
ROCKVILLE, MD 20850
Montgomery County (301) 523-4218
MS. SUSAN LEVIN MSW
Social Worker (Clinical)
14816 PHYSICIANS LN, 252
ROCKVILLE, MD 20850
Montgomery County (301) 437-5100
DR. RUIJIN YAO M.D.
Specialist
14816 PHYSICIANS LN
ROCKVILLE, MD 20850
Montgomery County (301) 251-5700
DR. SHAMA RAVI MITTAL M.D.
Internal Medicine
14816 PHYSICIANS LN, SUITE 152
ROCKVILLE, MD 20850
Montgomery County (240) 453-0000
DR. KEVIN MICHAEL GIL M.D.
Family Medicine (Geriatric Medicine)
14816 PHYSICIANS LN, SUITE 253
ROCKVILLE, MD 20850
Montgomery County (301) 610-6313
KEVIN M GIL, MD LLC
Clinic/Center (Primary Care)
14816 PHYSICIANS LN, SUITE 253
ROCKVILLE, MD 20850
Montgomery County (301) 610-6313

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 Adult And Pediatric Clinic, PC's NPI number?

The NPI number for Adult And Pediatric Clinic, PC is 1497935605. It was assigned to this organization in the NPPES registry on November 6, 2007.

Where is Adult And Pediatric Clinic, PC located?

Adult And Pediatric Clinic, PC is located at 14816 Physicians Ln Suite 152, Rockville, MD 20850. The listed phone number is (240) 453-0000.

What is Adult And Pediatric Clinic, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Adult And Pediatric Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1037671) is associated with this NPI, valid through March 1, 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 Adult And Pediatric Clinic, PC was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.