Shady Grove Children'S Gad, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHADY GROVE CHILDREN'S GAD, LLC

Practice address

15001 Shady Grove Rd
Rockville, MD 20850-6352

Phone

(301) 307-3333

Fax

(301) 307-5555

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Jeffrey Wheeler

Title

Ceo

Phone

(301) 494-3000

Specialties & licenses 4

Addresses

Tax ID family

Shady Grove Children'S Gad LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shady Grove Children'S Gad, LLC

  • Dentist
  • Rockville, MD
  • NPI 1104516194
  NPD tax ID

Locations

Practitioners 1

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

• Karishma Dilip Patel, DDS

  • Pediatric Dentistry
  • Princess Anne, MD
  • NPI 1386145118
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1184461063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "301-494-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 SHADY GROVE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506352",
            "telephone_number": "301-307-3333",
            "fax_number": "301-307-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY GROVE CHILDREN'S GAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-494-3000"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shady Grove Adventist Nursing & Rehabilitation Center Inc
• Shady Grove Andrology Center LLC
• Shady Grove Anesthesia Associate LLC
• Shady Grove Center for Preimplantation Genetics
• Shady Grove Children'S Gad, LLC
• Shady Grove Children'S Surgery Center, LLC
• Shady Grove Dental Center, LLC
• Shady Grove Dermatology
• Shady Grove Eye & Vision Care, LLC
• Shady Grove Family Health Care Inc

• Anesthesiology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.