NPIMap

Organization Active NPI

Xpress Pediatrics, LLC

  • Pediatrics Physician
  • Pikesville, MD
National Provider Identifier
1144964156
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
XPRESS PEDIATRICS, LLC
Practice address
1419 Reisterstown Rd
Pikesville, MD 21208-3808
Phone
(240) 376-1616
Fax
(855) 825-6158
NPI assigned
Apr 25, 2022
Organization subpart
Yes
Parent organization
XPRESS PEDIATRICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Rajender Kumar Gattu, MDNPI 1417995143
Title
Medical Director
Phone
(240) 616-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1419 Reisterstown Rd
Pikesville, MD 21208-3808

Mailing address

1419 Reisterstown Rd
Pikesville, MD 21208-3808
Phone (240) 376-1616

Other practice location 1

3750 University Blvd W Ste 1A
Kensington, MD 20895-2111
Phone (240) 616-1616

Other practice location 2

11414 Georgia Ave
Silver Spring, MD 20902-1907
Phone (240) 616-1616

National Provider Directory

National Provider Directory
Tax ID family
Xpress Pediatrics LLC3 organizations share this tax ID, including this one
Part of
Xpress Pediatrics LLC

Other organizations with this tax ID 2

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

Locations

11414 Georgia Ave
Silver Spring, MD 20902
Phone (240) 616-1616

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1144964156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083808",
            "telephone_number": "240-376-1616",
            "fax_number": "855-825-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083808",
            "telephone_number": "240-376-1616",
            "fax_number": "855-825-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 University Blvd W Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208952111",
            "country_code": "US",
            "telephone_number": "240-616-1616",
            "fax_number": "855-825-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11414 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209021907",
            "country_code": "US",
            "telephone_number": "240-616-1616",
            "fax_number": "855-825-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XPRESS PEDIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XPRESS PEDIATRICS, LLC",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "GATTU",
        "authorized_official_first_name": "RAJENDER",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-616-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.