Organization Active NPI

Blossoming Minds Pediatrics

Doing business as Culex Wellness

  • Medical Specialty Clinic/Center
  • Laurel, MD
National Provider Identifier
1558173559
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BLOSSOMING MINDS PEDIATRICS
Doing business as
Culex Wellness
Practice address
13994 Baltimore Ave Ste 101
Laurel, MD 20707-5174
Phone
(410) 656-4775
NPI assigned
Jan 25, 2025
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BLOSSOMING MINDS PEDIATRICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Dr. Keyvan Rafei, MDNPI 1669417267
Title
Medical Director
Phone
(240) 506-0739

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
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

13994 Baltimore Ave Ste 101
Laurel, MD 20707-5174

Mailing address

11540 Chapel Rise
Clarksville, MD 21029-1464
Phone (240) 506-0739

Other names 1

  • Culex Wellness Doing business as

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
21D2322156Blossoming Minds Pediatrics13994 Baltimore Ave Suite 101, Laurel, MD 20707Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Blossoming Minds Pediatrics2 organizations share this tax ID, including this one
Part of
Blossoming Minds Pediatrics

Other organizations with this tax ID 1

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

Locations

13994 Baltimore Ave
Ste 101
Laurel, MD 20707
Phone (240) 636-9849

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 1

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": "1737763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1558173559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 CHAPEL RISE",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291464",
            "telephone_number": "240-506-0739",
            "fax_number": "410-378-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13994 BALTIMORE AVE STE 101",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075174",
            "telephone_number": "410-656-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING MINDS PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLOSSOMING MINDS PEDIATRICS",
        "enumeration_date": "2025-01-25",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "RAFEI",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-506-0739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culex Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 11, 2026; 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.