Organization Active NPI

Hello Pediatrics Medical Group PLLC

  • Pediatrics Physician
  • Fairfax, VA
National Provider Identifier
1447964846
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HELLO PEDIATRICS MEDICAL GROUP PLLC
Practice address
13135 Route 50 Ste 300
Fairfax, VA 22033-1907
Phone
(855) 576-8745
Fax
(888) 494-1094
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Mr. Paul Portsmore
Title
Authorized Person
Phone
(855) 576-8745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X

Addresses

Primary practice location

13135 Route 50 Ste 300
Fairfax, VA 22033-1907

Mailing address

1 Penn PLZ Ste 2705
New York, NY 10119-2600

Other practice location 1

20 F St NW Fl 7
Washington, DC 20001-6700
Phone (855) 576-8745

Other practice location 2

1475 Taney Ave
Suite 201 and 202
Frederick, MD 21702-4747
Phone (855) 576-8745

Other practice location 3

128 S Tryon St
Charlotte, NC 28202-5001
Phone (855) 576-8745

National Provider Directory

National Provider Directory

Locations

1475 Taney Ave
Ste 201
Frederick, MD 21702
Phone (301) 662-0133

1 Penn Plz
Ste 2705
New York, NY 10119

Practitioners & affiliated clinicians

Practitioners 7

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1447964846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ STE 2705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101192600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 ROUTE 50 STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "855-576-8745",
            "fax_number": "888-494-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 F St NW Fl 7",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200016700",
            "country_code": "US",
            "telephone_number": "855-576-8745",
            "fax_number": "888-494-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Taney Ave",
            "address_2": "Suite 201 and 202",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024747",
            "country_code": "US",
            "telephone_number": "855-576-8745",
            "fax_number": "888-494-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 S Tryon St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282025001",
            "country_code": "US",
            "telephone_number": "855-576-8745",
            "fax_number": "888-494-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HELLO PEDIATRICS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "PORTSMORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "855-576-8745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.