KENNEDY KRIEGER ASSOCIATES
NPI 1902615990
Pediatrics in Columbia, MD

Active since January 03, 2025
9730 PATUXENT WOODS DR, COLUMBIA, MD 21046(443) 923-1815 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pediatrics

About KENNEDY KRIEGER ASSOCIATES

This page provides the complete NPI Profile along with additional information for Kennedy Krieger Associates, a pediatrician established in Columbia, Maryland operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1902615990 assigned on January 2025. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Kennedy Krieger Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lisa Badie (Vice President Finance)

NPI
1902615990 Verify this NPI
Provider Name
KENNEDY KRIEGER ASSOCIATES
Entity Type
Organization
Location Address
9730 PATUXENT WOODS DR COLUMBIA, MD 21046
Location Phone
(443) 923-1815
Mailing Address
PO BOX 45944 BALTIMORE, MD 21297
Mailing Phone
(443) 923-1886
Mailing Fax
(443) 923-1875
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-03-2025
Last Update Date
01-03-2025
Code Navigator

A pediatrician like Kennedy Krieger Associates is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA BADIE

Authorized Official Title
VICE PRESIDENT FINANCE
Authorized Official Phone
(443) 923-1812

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F158OTHER (01)MDBLUECROSS FEDERAL
K631OTHER (01)MDBLUECROSS MARYLAND
168641100MEDICAID (05)MD 

Reviews for KENNEDY KRIEGER ASSOCIATES

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
9730 PATUXENT WOODS DR
COLUMBIA, MD 21046
Clinic/Center (Developmental Disabilities)
9730 PATUXENT WOODS DR
COLUMBIA, MD 21046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902615990, enumerated as an "organization" on January 03, 2025.

The provider is located at 9730 PATUXENT WOODS DR COLUMBIA, MD 21046 and the phone number is (443) 923-1815.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.