Individual provider Active NPI

Nandini Thillairajah, M.D.

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1093762197
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0052630 Issued in MD
Practice address
11119 Rockville Pike
Suite 310
Rockville, MD 20852-3143
Phone
(301) 468-9225
Fax
(301) 770-2863
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0052630 MD Primary

Addresses

Primary practice location

11119 Rockville Pike
Suite 310
Rockville, MD 20852-3143

Mailing address

9910 Harrogate Rd
Bethesda, MD 20817-1561
Phone (301) 365-9284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117000362 DC Practitioner - Pediatric Medicine 5496011819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Rockville, MD 20852-3143

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0052630MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Pediatrics CurrentSince Apr 3, 2024 Accepting new patients
Privia Care Center LLC Pediatrics CurrentSince Apr 3, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 24, 2017 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Oct 24, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11119 Rockville Pike
Ste 310
Rockville, MD 20852
Phone (301) 468-9225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nandini.thillairajah.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7998/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093762197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 HARROGATE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171561",
            "telephone_number": "301-365-9284",
            "fax_number": "301-770-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-468-9225",
            "fax_number": "301-770-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILLAIRAJAH",
        "first_name": "NANDINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0052630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.