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HAGERSTOWN PEDIATRICS
NPI 1912965997
Clinic/Center - Primary Care in Hagerstown, MD

Active since May 01, 2006CLIA 21D1016485 · Waiver
332 MILL ST, HAGERSTOWN, MD 21740(301) 733-9335(301) 733-4191 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Hagerstown Pediatrics NPPES

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

HAGERSTOWN PEDIATRICS (NPI 1912965997) is a healthcare organization registered as a primary care in Hagerstown, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Shafaat Ullah Khan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1912965997
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHAGERSTOWN PEDIATRICS
Location Address332 MILL STHagerstown, MD 21740-6138
Mailing Address332 Mill StHagerstown, MD 21740-6138 · (301) 733-9335 · Fax (301) 733-4191
Phone(301) 733-9335
Fax(301) 733-4191
Organization SubpartNo
Authorized OfficialShafaat Ullah KhanMedical Director · (301) 733-9335
Enumeration DateMay 1, 2006
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1912965997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MD · D0060377
332 MILL ST, Hagerstown, MD 21740
Open in Google Maps ↗

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 21D1016485

Hagerstown Pediatrics · Hagerstown, MD
Active · expires Aug 28, 2027
CLIA Number21D1016485
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorShafaat Khan MD
Laboratory Phone(301) 733-9335
Laboratory LocationHagerstown Pediatrics332 Mill Street, Hagerstown, MD 21742
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. SHAFAAT ULLAH KHAN M.D.
Pediatrics (Adolescent Medicine)
332 MILL ST
HAGERSTOWN, MD 21740
Washington County (301) 733-9335

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 Hagerstown Pediatrics's NPI number?

The NPI number for Hagerstown Pediatrics is 1912965997. It was assigned to this organization in the NPPES registry on May 1, 2006.

Where is Hagerstown Pediatrics located?

Hagerstown Pediatrics is located at 332 Mill St, Hagerstown, MD 21740. The listed phone number is (301) 733-9335.

What is Hagerstown Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Hagerstown Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1016485) is associated with this NPI, valid through August 28, 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 Hagerstown Pediatrics was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.