Organization Active NPI

International Pediatrics, P a

  • Pediatrics Physician
  • Kensington, MD
National Provider Identifier
1235253485
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
INTERNATIONAL PEDIATRICS, P A
Practice address
10901 Connecticut Ave
Suite 100
Kensington, MD 20895-1645
Phone
(240) 290-1041
Fax
(240) 290-1045
NPI assigned
Mar 16, 2007
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dr. Mario R Ortega, M.D.NPI 1679548325
Title
Physician
Phone
(240) 290-1041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

10901 Connecticut Ave
Suite 100
Kensington, MD 20895-1645

Mailing address

10901 Connecticut Ave
Suite 100
Kensington, MD 20895-1645
Phone (240) 290-1041

Other identifiers 1

IdentifierTypeStateIssuer
420120500MedicaidMD

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
21D0213730International Pediatrics10901 Connecticut Ave Suite 100, Kensington, MD 20895Certificate 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 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1235253485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "240-290-1041",
            "fax_number": "240-290-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "SUITE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "240-290-1041",
            "fax_number": "240-290-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PEDIATRICS, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "240-290-1041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420120500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.