NPIMap

Organization Active NPI

Takoma Park Pediatrics, PA

  • Pediatrics Physician
  • Frederick, MD
National Provider Identifier
1093637720
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TAKOMA PARK PEDIATRICS, PA
Practice address
75 Thomas Johnson Dr Ste D
Frederick, MD 21702-4895
Phone
(301) 891-6141
NPI assigned
Jul 27, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lavanya Sithanandam, MDNPI 1407866874
Title
Medical Director
Phone
(301) 891-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

75 Thomas Johnson Dr Ste D
Frederick, MD 21702-4895

Mailing address

7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321
Phone (301) 891-6141

National Provider Directory

National Provider Directory
Tax ID family
Park Pediatrics6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1093637720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 400",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126321",
            "telephone_number": "301-891-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "301-891-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKOMA PARK PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "SITHANANDAM",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-891-6141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.