NPIMap

Organization Active NPI

Park Pediatrics

  • Pediatrics Physician
  • Takoma Park, MD
National Provider Identifier
1285853135
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PARK PEDIATRICS
Practice address
7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321
Phone
(301) 891-6141
Fax
(301) 891-6841
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Dr. Sithanandam Sadhasivam, M.D.
Title
Pediatrician
Phone
(301) 891-6141

Specialties & licenses 1

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

Addresses

Primary practice location

7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321

Mailing address

7610 Carroll Ave Ste 400
Takoma Park, MD 20912-6321
Phone (301) 891-6141

Other identifiers 1

IdentifierTypeStateIssuer
400651800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Park Pediatrics5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

501 N Frederick Ave
Ste 320
Gaithersburg, MD 20877
Phone (240) 631-0200

7500 Hanover Pkwy
Ste AND205
Greenbelt, MD 20770

7500 Hanover Pkwy
Ste 204205
Greenbelt, MD 20770
Phone (301) 232-3638

Practitioners & affiliated clinicians

Practitioners 12

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1285853135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 400",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126321",
            "telephone_number": "301-891-6141",
            "fax_number": "301-891-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 400",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126321",
            "telephone_number": "301-891-6141",
            "fax_number": "301-891-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SADHASIVAM",
        "authorized_official_first_name": "SITHANANDAM",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "301-891-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400651800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.