Active NPI
Kristina Pyclik, M.D.
- Pediatrics Physician
- Annapolis, MD
National Provider Identifier
1831431451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0081264
- Practice address
- 200 Forbes St
Suite 200
Annapolis, MD 21401-1538 - Phone
- (410) 263-6363
- NPI assigned
- Mar 21, 2013
- Last updated
- Jul 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0081264 | MD | Primary |
Addresses
Primary practice location
200 Forbes St
Suite 200
Annapolis, MD 21401-1538
Mailing address
301 14TH St SE Apt 4
Washington, DC 20003-2372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130803000068 | MD | Order and Referring Only - Pediatric Medicine | 6406098409 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0081264 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1831431451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 14TH ST SE APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200032372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FORBES ST",
"address_2": "SUITE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011538",
"telephone_number": "410-263-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYCLIK",
"first_name": "KRISTINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0081264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.