DEJ MED PRACTICE, LLC
NPI 1669353504
Pediatrics in Hagerstown, MD

Active since September 09, 2025CLIA 21D2337280 · Waiver
13316 MARSH PIKE, HAGERSTOWN, MD 21742(301) 791-7060 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dej Med Practice, Llc NPPES

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

DEJ MED PRACTICE, LLC (NPI 1669353504), doing business as Partners In Pediatrics, is a healthcare organization registered as a pediatrics in Hagerstown, Maryland and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Chukwuemeka Obidi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1669353504
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEJ MED PRACTICE, LLC
Location Address13316 MARSH PIKEHagerstown, MD 21742-2573
Mailing Address303 Memorial Blvd WHagerstown, MD 21740-6219 · (301) 791-7060 · Fax (301) 791-8990
Organization SubpartYes
Authorized OfficialChukwuemeka ObidiMedical Director · (301) 791-7060
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1669353504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
13316 MARSH PIKE, Hagerstown, MD 21742

Other Names 3

Doing Business AsPartners In Pediatrics
Doing Business AsPartners In Pediatrics And Adult Care
Doing Business AsPartners In Pediatrics And Family Health

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dej Med Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Dej Med Practice, LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Internal Medicine1
Pediatric Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1205191228
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(301) 791-7060
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1558935064
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(301) 791-7060
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1821558164
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(013) 791-7060
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1174972152
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(301) 791-7060
✔ PECOS✔ Accepts Medicare3.6 mi
Pediatric Medicine
NPI 1083796452
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(301) 791-7060
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1306718812
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(301) 791-7060
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1265874812
303 MEMORIAL BLVD W
Hagerstown, MD 21740
(301) 791-7060
✔ PECOS3.6 mi
Nurse Practitioner
NPI 1912543893
11110 MEDICAL CAMPUS RD STE 225
Hagerstown, MD 21742
(301) 665-4721
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1598310153
65 THOMAS JOHNSON DR STE C
Frederick, MD 21702
(301) 663-3836
✔ PECOS22 mi
Nurse Practitioner
NPI 1639702616
133 ROLLINS AVE
Rockville, MD 20852
(855) 439-0292
✔ PECOS✔ Accepts Medicare53 mi
Internal Medicine
NPI 1104347079
100 E CARROLL ST
Salisbury, MD 21801
(410) 546-6400
✔ PECOS✔ Accepts Medicare145 mi

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 21D2337280

Dej Med Practice LLC · Hagerstown, MD
Active · expires Jan 20, 2028
CLIA Number21D2337280
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorChukwemeka Obidi
Laboratory Phone(301) 791-7060
Laboratory LocationDej Med Practice LLC13316 Marsh Park, Hagerstown, MD 21742
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dej Med Practice, LLC's NPI number?

The NPI number for Dej Med Practice, LLC is 1669353504. It was assigned to this organization in the NPPES registry on September 9, 2025. The provider is doing business as Partners In Pediatrics, Partners In Pediatrics and Adult Care and Partners In Pediatrics and Family Health.

Where is Dej Med Practice, LLC located?

Dej Med Practice, LLC is located at 13316 Marsh Pike, Hagerstown, MD 21742. The listed phone number is (301) 791-7060.

What is Dej Med Practice, LLC's specialty?

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

Is Dej Med Practice, LLC enrolled in Medicare?

Yes. Dej Med Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dej Med Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Dej Med Practice, LLC. 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. The largest specialties are Nurse Practitioner (9), Internal Medicine (1) and Pediatric Medicine (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dej Med Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2337280) is associated with this NPI, valid through January 20, 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 Dej Med Practice, LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.