Xpress Pediatrics, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

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

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rajender Gattu, MDNPI 1417995143

Title

Owner

Phone

(240) 280-7924

Specialties & licenses 2

Addresses

Other names 1

• Xpress Pediatrics, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Tax ID family

Xpress Pediatrics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Xpress Pediatrics LLC

  • Pediatrics Physician
  • Pikesville, MD
  • NPI 1649804808
  NPD tax ID
• Xpress Pediatrics, LLC

  • Pediatrics Physician
  • Pikesville, MD
  • NPI 1144964156
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Xpress Pediatrics, LLC

  • Pediatrics Physician
  • Pikesville, MD
  • NPI 1144964156
  NPPES parent name

Practitioners 2

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

• Rajender Kumar Gattu, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Pikesville, MD
  • NPI 1417995143

  DC

  Medicare reassignment NPD Authorized official
• Rachel Ugoala

  • Pediatric Nurse Practitioner
  • Kensington, MD
  • NPI 1598629909
  NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1164070181",
    "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": "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "XPRESS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "GATTU",
        "authorized_official_first_name": "RAJENDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-280-7924",
        "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": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xpress Pediatrics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Xpress Pediatrics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Myaisha Chyanna Wright
• Pasha Alexan Wright
• Abidemi Sejiro Hunponu Wusu
• Xpress Pediatrics LLC
• Xpress Pediatrics, LLC
• Shannon Yacucci
• Jessica Yao
• Chloe Yates
• Lorrie Yates
• Yeshivas Toras Simcha

• Urgent Care Clinic/Center in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Urgent Care Clinic/Center in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.