Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLOSSOMING MINDS PEDIATRICS
NPI 1538779509
Pediatrics in Columbia, MD

Q: What is Blossoming Minds Pediatrics's NPI number?

The NPI number for Blossoming Minds Pediatrics is 1538779509. It was assigned to this organization in the NPPES registry on August 5, 2020.

Q: What is Blossoming Minds Pediatrics's specialty?

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

Active since August 05, 2020CLIA Certified · 2 labs

10380 OLD COLUMBIA RD STE 100, COLUMBIA, MD 21046(410) 656-4775 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 11, 2026, Aug 5, 2020 (2 updates tracked since 2020).

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About Blossoming Minds Pediatrics NPPES

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

BLOSSOMING MINDS PEDIATRICS (NPI 1538779509) is a healthcare organization registered as a pediatrics in Columbia, Maryland and active in the NPI registry since August 2020. The organization holds 2 active CLIA laboratory certificates and lists Keyvan Rafei, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538779509

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBLOSSOMING MINDS PEDIATRICS

Location Address10380 OLD COLUMBIA RD STE 100Columbia, MD 21046-2005

Mailing Address10380 Old Columbia Rd Ste 100Columbia, MD 21046-2005 · (240) 506-0739

Phone(410) 656-4775

Organization SubpartNo

Authorized OfficialKeyvan RafeiMedical Director · (240) 506-0739

Enumeration DateAugust 5, 2020

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1538779509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

10380 OLD COLUMBIA RD STE 100, Columbia, MD 21046

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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 2

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 21D2272271

Blossoming Minds Pediatrics · Columbia, MD

Active · expires Nov 16, 2026

CLIA Number21D2272271

Laboratory TypePhysician Office

Certificate Effective DateNovember 17, 2024

Certificate Expiration DateNovember 16, 2026

Laboratory DirectorDr. Keyvan Rafei

Laboratory Phone(410) 656-4775

Laboratory LocationBlossoming Minds Pediatrics10380 Old Columbia Rd Suite 100, Columbia, MD 21046

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2322156

Blossoming Minds Pediatrics · Laurel, MD

Active · expires Apr 15, 2027

CLIA Number21D2322156

Laboratory TypePhysician Office

Certificate Effective DateApril 16, 2025

Certificate Expiration DateApril 15, 2027

Laboratory DirectorKeyvan Rafei

Laboratory Phone(410) 656-4775

Laboratory LocationBlossoming Minds Pediatrics13994 Baltimore Ave Suite 101, Laurel, MD 20707

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

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

KEYVAN RAFEI MD

Pediatrics

10380 OLD COLUMBIA RD STE 100
COLUMBIA, MD 21046

Howard County (443) 492-4000

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 Blossoming Minds Pediatrics's NPI number?

The NPI number for Blossoming Minds Pediatrics is 1538779509. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is Blossoming Minds Pediatrics located?

Blossoming Minds Pediatrics is located at 10380 Old Columbia Rd Ste 100, Columbia, MD 21046. The listed phone number is (410) 656-4775.

What is Blossoming Minds Pediatrics's specialty?

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

Does Blossoming Minds Pediatrics hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Blossoming Minds Pediatrics was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.