NPIMap

Above & Beyond Pediatrics

Organization Active NPI Pediatrics Physician · Waldorf, MD

NPI 1659025559 · NPPES record last updated Feb 10, 2024

Key facts

NPI
1659025559
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
ABOVE & BEYOND PEDIATRICS
Practice address
12070 Old Line Ctr Ste 212
Waldorf, MD 20602-2567
Phone
(301) 818-3799
NPI assigned
Feb 9, 2022
Organization subpart
No

Authorized official

Name
Tuere Hughes-Kapenzi, MD, MBA
Title
Owner
Phone
(301) 818-3799

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2264951Above & Beyond Pediatrics
12070 Old Line Center Suite 212, Waldorf, MD 20602		Certificate of waiverJul 20, 2028

National Provider Directory

Tax ID family
Above Beyond Pediatrics (2 organizations share this tax ID)

Locations

15912 Crain Hwy
#B435
Brandywine, MD 20613

1101 Mercantile Ln
Ste 123
Upper Marlboro, MD 20774
Phone (301) 710-0455

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208000000X Yes
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

12070 Old Line Ctr Ste 212
Waldorf, MD 20602-2567

Mailing address

12070 Old Line Ctr Ste 212
Waldorf, MD 20602-2567
Phone (301) 710-0455

Other names

  • Tuere Hughes-Kapenzi Former legal business name

Other providers in Waldorf, MD

All providers in Waldorf, MD · Pediatrics Physician in Maryland

Sources for this page

Verify at the official NPI Registry.