NPIMap

Organization Active NPI

White Oak Pediatrics DRS Battiata & Impeduglia PA

  • Pediatrics Physician
  • Gaithersburg, MD
National Provider Identifier
1497564009
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA
Practice address
18310 Montgomery Village Ave Ste 460
Gaithersburg, MD 20879-3565
Phone
(301) 977-4100
Fax
(855) 885-1472
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PAAs reported in NPPES

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
Giovanni Impeduglia, MDNPI 1235197948
Title
Medical Director
Phone
(301) 681-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

18310 Montgomery Village Ave Ste 460
Gaithersburg, MD 20879-3565

Mailing address

11161 New Hampshire Ave Ste 301
Silver Spring, MD 20904-2606
Phone (301) 681-7101

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
21D2232888White Oak Pediatrics18310 Montgomery Village Ave #460, Gaithersburg, MD 20879Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
White Oak Pediatrics DRS Battiata Impeduglia PA10 organizations share this tax ID, including this one
Part of
White Oak Pediatrics DRS Battiata Impeduglia PA

Other organizations with this tax ID 9

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

Locations

11717 Old National Pike
Ste 8
New Market, MD 21774
Phone (301) 381-4586

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1497564009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 NEW HAMPSHIRE AVE STE 301",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042606",
            "telephone_number": "301-681-7101",
            "fax_number": "855-885-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 460",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793565",
            "telephone_number": "301-977-4100",
            "fax_number": "855-885-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE OAK PEDIATRICS DRS BATTIATA & IMPEDUGLIA PA",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "IMPEDUGLIA",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-681-7101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, 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.
  • 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.