Active NPI
Pediatric Professionals, PC
- Pediatrics Physician
- Washington, DC
National Provider Identifier
1093976813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD035063
- Legal business name
- PEDIATRIC PROFESSIONALS, PC
- Practice address
- 106 Irving St NW
Ste 212
Washington, DC 20010-2927 - Phone
- (202) 726-5800
- Fax
- (202) 829-3753
- NPI assigned
- Jun 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yared Belai, MBA
- Title
- Business Manager/Secretary
- Phone
- (301) 529-8832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD035063 | DC | Primary |
Addresses
Primary practice location
106 Irving St NW
Ste 212
Washington, DC 20010-2927
Mailing address
106 Irving St NW
Ste 212
Washington, DC 20010-2927
Phone (202) 726-5800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400605400 | Medicaid | MD | |
| 045523900 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
8609 2nd Ave
Ste 407B
Silver Spring, MD 20910
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Washington, DC
- NPI 1730225079
-
- Pediatrics Physician
- Washington, DC
- NPI 1003906488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1093976813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "STE 212",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102927",
"telephone_number": "202-726-5800",
"fax_number": "202-829-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "STE 212",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102927",
"telephone_number": "202-726-5800",
"fax_number": "202-829-3753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PROFESSIONALS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-24",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "BELAI",
"authorized_official_first_name": "YARED",
"authorized_official_title_or_position": "BUSINESS MANAGER/SECRETARY",
"authorized_official_telephone_number": "301-529-8832",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "DC",
"license": "MD035063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400605400",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045523900",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.