NPIMap

Organization Active NPI

International Pediatrics, P a

  • Pediatrics Physician
  • Gaithersburg, MD
National Provider Identifier
1225849078
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
INTERNATIONAL PEDIATRICS, P A
Practice address
501 N Frederick Ave Ste 212
Gaithersburg, MD 20877-2545
Phone
(301) 407-1597
Fax
(240) 290-1045
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Reyna Cartagena
Title
Officer Manager
Phone
(240) 290-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

501 N Frederick Ave Ste 212
Gaithersburg, MD 20877-2545

Mailing address

501 N Frederick Ave Ste 212
Gaithersburg, MD 20877-2545
Phone (301) 407-1597

Other names 1

  • International Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2048185International Pediatrics501 N Frederick Avenue Ste 212, Gaithersburg, MD 20877Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
International Pediatrics3 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.

Locations

501 N Frederick Ave
Ste 212
Gaithersburg, MD 20877
Phone (301) 407-1597

Practitioners & affiliated clinicians

Practitioners 10

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": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1225849078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 212",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772545",
            "telephone_number": "301-407-1597",
            "fax_number": "240-290-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 212",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772545",
            "telephone_number": "301-407-1597",
            "fax_number": "240-290-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PEDIATRICS, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "CARTAGENA",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "240-290-1041"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.