Organization Active NPI

Thrive and Grow Pediatric Endocrinology, LLC

  • Pediatric Endocrinology Physician
  • N Bethesda, MD
National Provider Identifier
1548096084
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
THRIVE AND GROW PEDIATRIC ENDOCRINOLOGY, LLC
Practice address
6000 Executive Blvd Ste 312
N Bethesda, MD 20852-3803
Phone
(240) 553-5003
Fax
(240) 553-5005
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Amita De Souza, MDNPI 1912296492
Title
MD, Ceo
Phone
(240) 553-5003

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
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

6000 Executive Blvd Ste 312
N Bethesda, MD 20852-3803

Mailing address

6000 Executive Blvd Ste 312
N Bethesda, MD 20852-3803
Phone (240) 553-5003

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
21D2310121Thrive and Grow Pediatric Endocrinology LLC6000 Executive Blvd #312, North Bethesda, MD 20852Certificate of waiverAug 26, 2026

National Provider Directory

National Provider Directory

Locations

6000 Executive Blvd
Ste 312
Rockville, MD 20852
Phone (240) 553-5003

Practitioners & affiliated clinicians

Practitioners 1

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": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1548096084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 312",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "240-553-5003",
            "fax_number": "240-553-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD STE 312",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "240-553-5003",
            "fax_number": "240-553-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE AND GROW PEDIATRIC ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "DE SOUZA",
        "authorized_official_first_name": "AMITA",
        "authorized_official_title_or_position": "MD, CEO",
        "authorized_official_telephone_number": "240-553-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.