NPIMap

Organization Active NPI

Above & Beyond Pediatrics

  • Pediatrics Physician
  • Waldorf, MD
National Provider Identifier
1659025559
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 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
Last updated
Feb 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Authorized official

Name
Tuere Hughes-Kapenzi, MD, MBANPI 1699064097
Title
Owner
Phone
(301) 818-3799

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
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 1

  • Tuere Hughes-Kapenzi Former legal business name

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
21D2264951Above & Beyond Pediatrics12070 Old Line Center Suite 212, Waldorf, MD 20602Certificate of waiverJul 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Above Beyond Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

15912 Crain Hwy
#B435
Brandywine, MD 20613

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1659025559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR STE 212",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022567",
            "telephone_number": "301-710-0455",
            "fax_number": "301-710-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR STE 212",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022567",
            "telephone_number": "301-818-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "HUGHES-KAPENZI",
        "authorized_official_first_name": "TUERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-818-3799",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuere Hughes-Kapenzi",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.