NPIMap

Organization Active NPI

Hirsch Pediatrics, LLC

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1275628414
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0060026 Issued in MD
Legal business name
HIRSCH PEDIATRICS, LLC
Practice address
15235 Shady Grove Rd
Suite 105
Rockville, MD 20850-3234
Phone
(301) 990-3030
Fax
(301) 990-6767
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Dr. Steven Flint Hirsch, MDNPI 1790759389
Title
Principal Officer
Phone
(301) 990-3030

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 D0060026 MD Primary

Addresses

Primary practice location

15235 Shady Grove Rd
Suite 105
Rockville, MD 20850-3234

Mailing address

15235 Shady Grove Rd
Suite 105
Rockville, MD 20850-3234
Phone (301) 990-3030

Other identifiers 1

IdentifierTypeStateIssuer
409917600MedicaidMD

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
21D1062319Hirsch Pediatrics LLC15235 Shady Grove Road Ste 105, Rockville, MD 20850ComplianceNov 9, 2026

National Provider Directory

National Provider Directory

Locations

15235 Shady Grove Rd
Ste 105
Rockville, MD 20850
Phone (301) 990-3030

Practitioners & affiliated clinicians

Practitioners 5

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1275628414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD",
            "address_2": "SUITE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503234",
            "telephone_number": "301-990-3030",
            "fax_number": "301-990-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD",
            "address_2": "SUITE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503234",
            "telephone_number": "301-990-3030",
            "fax_number": "301-990-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRSCH PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "FLINT",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "301-990-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0060026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409917600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.