Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SUSAN A DEMUTH M.D.
NPI 1730179284
Pediatrics in Ft Meade, MD

Active since October 26, 2005
2480 LLEWELLYN AVE, FT MEADE, MD 20755(301) 677-8641(301) 677-8485 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan A Demuth M.d. NPPES

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

DR. SUSAN A DEMUTH M.D. (NPI 1730179284) is an individual pediatrics provider in Ft Meade, Maryland, licensed in Virginia (0101037909) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1730179284
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN A DEMUTHCredential: M.D.
Location Address2480 LLEWELLYN AVEFt Meade, MD 20755-5800
Mailing AddressKimbrough Ambulatory Care Center, Attn: Mcxr-cr 2480 Llewellyn Ave.Ft. Meade, MD 20755 · (301) 677-8270 · Fax (301) 677-8176
Fax(301) 677-8485
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1730179284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VA · 0101037909
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.

2480 LLEWELLYN AVE, Ft Meade, MD 20755

Other Names 1

Former Name (1)Susan A Shultis M.d.

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.

Family Medicine
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Ophthalmology
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
General Practice
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physical Therapist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Military Health Care Provider
2480 LLEWELLYN AVE, KACC
FT MEADE, MD 20755
Psychologist
2480 LLEWELLYN AVE, ASAP
FORT GEORGE G MEADE, MD 20755

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 Susan Demuth's NPI number?

The NPI number for Susan Demuth is 1730179284. It was assigned to this individual provider in the NPPES registry on October 26, 2005. The provider is also known as Susan A Shultis M.D..

Where is Susan Demuth located?

Susan Demuth practices at 2480 Llewellyn Ave, Ft Meade, MD 20755. The listed phone number is (301) 677-8641.

What is Susan Demuth's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Demuth was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.