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SHADY GROVE PEDIATRIC ASSOCIATES
NPI 1962597021
Pediatrics in Rockville, MD

Active since October 04, 2006CLIA 21D0212217 · Waiver
15215 SHADY GROVE RD, SUITE 303, ROCKVILLE, MD 20850(301) 330-3216(301) 330-0026 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shady Grove Pediatric Associates NPPES

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

SHADY GROVE PEDIATRIC ASSOCIATES (NPI 1962597021) is a healthcare organization registered as a pediatrics in Rockville, Maryland and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Carol Ann Plotsky, Owner President, as its authorized official.

NPPES Registry Identity

NPI1962597021
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHADY GROVE PEDIATRIC ASSOCIATES
Location Address15215 SHADY GROVE RD, SUITE 303Rockville, MD 20850-3235
Mailing Address15215 Shady Grove Road, Suite 303Rockville, MD 20850 · (301) 330-3216 · Fax (301) 330-0026
Phone(301) 330-3216
Fax(301) 330-0026
Organization SubpartNo
Authorized OfficialCarol Ann PlotskyOwner President · (301) 330-3216
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962597021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

15215 SHADY GROVE RD, Rockville, MD 20850
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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 21D0212217

Shady Grove Pediatric Associates · Rockville, MD
Active · expires Nov 1, 2026
CLIA Number21D0212217
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorMindy J. Maggid MD
Laboratory Phone(301) 330-3216
Laboratory LocationShady Grove Pediatric Associates15215 Shady Grove Road Suite 303, Rockville, MD 20850
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 20

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

LAURENCE R KELLEY M.D.
Internal Medicine (Cardiovascular Disease)
15215 SHADY GROVE RD, SUITE 306
ROCKVILLE, MD 20850
Montgomery County (301) 990-0040
DAVID M BRILL M.D.
Internal Medicine (Cardiovascular Disease)
15215 SHADY GROVE RD, SUITE 306
ROCKVILLE, MD 20850
Montgomery County (301) 990-0040
DR. BRIGITTE KLINK BURGETT MD
Pediatrics
15215 SHADY GROVE RD, SUITE 500
ROCKVILLE, MD 20850
Montgomery County (301) 330-3216
MS. SHEILA KATHLEEN NOLAN CRNP
Nurse Practitioner (Family)
15215 SHADY GROVE RD, STE 100
ROCKVILLE, MD 20850
Montgomery County (301) 519-0902
DELTA FAMILY MEDICINE, LLC
Family Medicine
15215 SHADY GROVE RD, SUITE 203
ROCKVILLE, MD 20850
Montgomery County (301) 500-0374
MARK A TURCO M.D.
Internal Medicine (Cardiovascular Disease)
15215 SHADY GROVE RD, SUITE 306
ROCKVILLE, MD 20850
Montgomery County (301) 990-0040
PHYSICIANS NOW, LLC.
Emergency Medicine
15215 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Montgomery County (301) 519-0902
DR. CAROL ANN PLOTSKY MD
Pediatrics
15215 SHADY GROVE RD, SUITE 303
ROCKVILLE, MD 20850
Montgomery County (301) 330-3216

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 Shady Grove Pediatric Associates's NPI number?

The NPI number for Shady Grove Pediatric Associates is 1962597021. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Shady Grove Pediatric Associates located?

Shady Grove Pediatric Associates is located at 15215 Shady Grove Rd Suite 303, Rockville, MD 20850. The listed phone number is (301) 330-3216.

What is Shady Grove Pediatric Associates's specialty?

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

Does Shady Grove Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0212217) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shady Grove Pediatric Associates was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.