NPIMap

Organization Active NPI

Greenbelt Pediatrics

  • Pediatrics Physician
  • Greenbelt, MD
National Provider Identifier
1255424362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0054809 Issued in MD
Legal business name
GREENBELT PEDIATRICS
Practice address
7313 B Hanover Parkway
Greenbelt, MD 20770
Phone
(301) 220-3021
Fax
(301) 982-7875
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Markos Yibas, MDNPI 1467490094
Title
Owner
Phone
(301) 220-3021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0054809 MD Primary

Addresses

Primary practice location

7313 B Hanover Parkway
Greenbelt, MD 20770

Mailing address

7313 B Hanover Parkway
Greenbelt, MD 20770
Phone (301) 220-3021

National Provider Directory

National Provider Directory

Locations

7313 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 220-3021

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255424362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 B HANOVER PARKWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-220-3021",
            "fax_number": "301-982-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 B HANOVER PARKWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-220-3021",
            "fax_number": "301-982-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YIBAS",
        "authorized_official_first_name": "MARKOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-220-3021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0054809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.