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HERITAGE PEDIATRICS, INC.
NPI 1972903201
Pediatrics in Largo, MD

Active since August 22, 2014CLIA 21D2095047 · Waiver
1450 MERCANTILE LN, SUITE #217, LARGO, MD 20774(301) 341-5000(301) 341-5001 Get Directions Write a Review

NPPES record last updated: January 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Pediatrics, Inc. NPPES

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

HERITAGE PEDIATRICS, INC. (NPI 1972903201) is a healthcare organization registered as a pediatrics in Largo, Maryland and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Babajide Eyitayo Faditan, President, as its authorized official.

NPPES Registry Identity

NPI1972903201
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHERITAGE PEDIATRICS, INC.
Location Address1450 MERCANTILE LN, SUITE #217Largo, MD 20774-5376
Mailing AddressPo Box 7598Largo, MD 20792-7598 · (301) 341-5000 · Fax (301) 341-5001
Phone(301) 341-5000
Fax(301) 341-5001
Organization SubpartNo
Authorized OfficialBabajide Eyitayo FaditanPresident · (301) 341-5000
Enumeration DateAugust 22, 2014
Last NPPES UpdateJanuary 22, 2022
NPPES CertifiedJanuary 22, 2022
✔ NPI 1972903201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D74464
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.
1450 MERCANTILE LN, Largo, MD 20774
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Other Identifiers 2

Medicaid378100300MD
Other1699087403MD · Individual Npi

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 21D2095047

Heritage Pediatrics, Inc · Largo, MD
Active · expires Jul 21, 2027
CLIA Number21D2095047
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorBabajide E. Faditan
Laboratory Phone(301) 341-5000
Laboratory LocationHeritage Pediatrics, Inc1450 Mercantile Lane Suite 217, Largo, MD 20774
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 16

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

DR. DOREEN BLAKE M.D.
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
MR. JATIN R MATTA PA-C, MPAS
Physician Assistant
1450 MERCANTILE LN, SUITE 217
LARGO, MD 20774
Prince George's County (301) 583-7770
LUMINIS HEALTH MEDICAL GROUP, LLC
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610
HOLISTIC HEALTH AND WELLNESS MEDICAL SPA
Nurse Practitioner (Acute Care)
1450 MERCANTILE LN, SUITE 221
LARGO, MD 20774
Prince George's County (240) 280-6267
DR. ADEMUYIWA ADEKOLA ADETUNJI DPM
Podiatrist (Primary Podiatric Medicine)
1450 MERCANTILE LN, STE 151
UPPER MARLBORO, MD 20774
Prince George's County (301) 386-5453
HOLISTIC HEALTH & WELLNESS MEDICAL SPA
Pain Medicine (Pain Medicine)
1450 MERCANTILE LN, 221
LARGO, MD 20774
Prince George's County (301) 772-1500
DR. LISA VALDENE THOMPSON DDS
Dentist (General Practice)
1450 MERCANTILE LN, SUITE 207A
LARGO, MD 20774
Prince George's County (240) 455-7484
BLAKE & SLOAN PC
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Prince George's County (301) 925-7610

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 Heritage Pediatrics, Inc.'s NPI number?

The NPI number for Heritage Pediatrics, Inc. is 1972903201. It was assigned to this organization in the NPPES registry on August 22, 2014.

Where is Heritage Pediatrics, Inc. located?

Heritage Pediatrics, Inc. is located at 1450 Mercantile Ln Suite #217, Largo, MD 20774. The listed phone number is (301) 341-5000.

What is Heritage Pediatrics, Inc.'s specialty?

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

Does Heritage Pediatrics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2095047) is associated with this NPI, valid through July 21, 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 Heritage Pediatrics, Inc. was last updated on January 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.