NPIMap

Organization Active NPI

Laurel Lakes Primary Care, LLC

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1548217623
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LAUREL LAKES PRIMARY CARE, LLC
Practice address
13900 Baltimore Ave
Laurel, MD 20707-5046
Phone
(301) 725-5658
Fax
(301) 483-3723
NPI assigned
May 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mirza H Baig, M.D.NPI 1093740326
Title
President
Phone
(301) 725-5658

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

13900 Baltimore Ave
Laurel, MD 20707-5046

Mailing address

13900 Baltimore Ave
Laurel, MD 20707-5046
Phone (301) 725-5658

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548217623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075046",
            "telephone_number": "301-725-5658",
            "fax_number": "301-483-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075046",
            "telephone_number": "301-725-5658",
            "fax_number": "301-483-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL LAKES PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-725-5658",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

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