1. Home
  2. Directory
  3. Maryland
  4. Stevensville
  5. Pediatrics
  6. NPI Profile

BAY AREA PEDIATRICS, LLC
NPI 1760649958
Pediatrics in Stevensville, MD

Active since May 16, 2008CLIA 21D1040404 · Waiver
165 LOG CANOE CIR, SUITE E, STEVENSVILLE, MD 21666(410) 643-1000(410) 643-5200 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bay Area Pediatrics, Llc NPPES

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

BAY AREA PEDIATRICS, LLC (NPI 1760649958) is a healthcare organization registered as a pediatrics in Stevensville, Maryland and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Demetrios James Kalliongis, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1760649958
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAY AREA PEDIATRICS, LLC
Location Address165 LOG CANOE CIR, SUITE EStevensville, MD 21666-2149
Mailing Address165 Log Canoe Cir, Suite EStevensville, MD 21666-2149 · (410) 643-1000 · Fax (410) 643-5200
Phone(410) 643-1000
Fax(410) 643-5200
Organization SubpartNo
Authorized OfficialDemetrios James KalliongisPhysician Owner · (410) 643-2275
Enumeration DateMay 16, 2008
✔ NPI 1760649958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0041579
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.
165 LOG CANOE CIR, Stevensville, MD 21666
Open in Google Maps ↗

Other Identifiers 1

Medicaid407327400MD

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

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 21D1040404

Bay Area Pediatrics · Stevensville, MD
Active · expires May 8, 2027
CLIA Number21D1040404
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorD James Kalliongis MD
Laboratory Phone(410) 643-1000
Laboratory LocationBay Area Pediatrics165 Log Canoe Circle Ste E, Stevensville, MD 21666
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

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

DR. DEMETRIOS J KALLIONGIS MD
Pediatrics
165 LOG CANOE CIR, SUITE E
STEVENSVILLE, MD 21666
Queen Anne's County (410) 643-1000

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 Bay Area Pediatrics, LLC's NPI number?

The NPI number for Bay Area Pediatrics, LLC is 1760649958. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is Bay Area Pediatrics, LLC located?

Bay Area Pediatrics, LLC is located at 165 Log Canoe Cir Suite E, Stevensville, MD 21666. The listed phone number is (410) 643-1000.

What is Bay Area Pediatrics, LLC's specialty?

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

Does Bay Area Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1040404) is associated with this NPI, valid through May 8, 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 Bay Area Pediatrics, LLC was last updated on May 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.