NPIMap

Organization Active NPI

Valerie Callender M. D. PC

  • Specialist
  • Glenn Dale, MD
National Provider Identifier
1275834202
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0035709 Issued in MD
Legal business name
VALERIE CALLENDER M. D. PC
Practice address
12200 Annapolis Rd
#315
Glenn Dale, MD 20769-9182
Phone
(301) 249-0970
Fax
(301) 249-4246
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Valerie D Callender, M.D.NPI 1245389717
Title
President
Phone
(301) 249-0970

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0035709 MD Primary

Addresses

Primary practice location

12200 Annapolis Rd
#315
Glenn Dale, MD 20769-9182

Mailing address

12200 Annapolis Rd
#315
Glenn Dale, MD 20769-9182
Phone (301) 249-0970

Other identifiers 2

IdentifierTypeStateIssuer
A6270001OtherMDBLUE CROSS CLUE SHIELD DC
CCC1OtherMDBLUE CROSS BLUE SHIELD MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201000773 DC Part B Supplier - Clinic/Group Practice 2769678846 Receives reassigned benefits from 1 practitioner
Practice locations: Glenn Dale, MD

National Provider Directory

National Provider Directory

Locations

12200 Annapolis Rd
Ste 315
Glenn Dale, MD 20769
Phone (301) 249-0970

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1275834202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "#315",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-249-0970",
            "fax_number": "301-249-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD",
            "address_2": "#315",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-249-0970",
            "fax_number": "301-249-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE CALLENDER M. D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-249-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0035709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CLUE SHIELD DC",
            "identifier": "A6270001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MD",
            "identifier": "CCC1",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.