NPIMap

Organization Active NPI

Dej Med Practice, LLC

Doing business as Partners In Pediatrics

  • Pediatrics Physician
  • Hagerstown, MD
National Provider Identifier
1669353504
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DEJ MED PRACTICE, LLC
Doing business as
Partners In Pediatrics
Partners In Pediatrics and Adult Care
Partners In Pediatrics and Family Health
Practice address
13316 Marsh Pike
Hagerstown, MD 21742-2573
Phone
(301) 791-7060
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DEJ MED PRACTICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Chukwuemeka ObidiNPI 1083796452
Title
Medical Director
Phone
(301) 791-7060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

13316 Marsh Pike
Hagerstown, MD 21742-2573

Mailing address

303 Memorial Blvd W
Hagerstown, MD 21740-6219
Phone (301) 791-7060

Other names 3

  • Partners In Pediatrics Doing business as
  • Partners In Pediatrics and Adult Care Doing business as
  • Partners In Pediatrics and Family Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308000174 MD Part B Supplier - Clinic/Group Practice 7810271004 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hagerstown, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
21D2337280Dej Med Practice LLC13316 Marsh Park, Hagerstown, MD 21742Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dej Med Practice LLC2 organizations share this tax ID, including this one
Part of
Dej Med Practice LLC

Other organizations with this tax ID 1

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

Locations

13316 Marsh Pike
Hagerstown, MD 21742
Phone (301) 791-7060

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 10

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": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1669353504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEMORIAL BLVD W",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406219",
            "telephone_number": "301-791-7060",
            "fax_number": "301-791-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13316 MARSH PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422573",
            "telephone_number": "301-791-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJ MED PRACTICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEJ MED PRACTICE, LLC",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "OBIDI",
        "authorized_official_first_name": "CHUKWUEMEKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-791-7060"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners In Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Partners In Pediatrics and Adult Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Partners In Pediatrics and Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.