Individual provider Active NPI

Nora Katerji, M.D

  • Pediatrics Physician
  • Hagerstown, MD
National Provider Identifier
1912389289
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D85246 Issued in MD
Practice address
1161 Omega Dr
Hagerstown, MD 21740
Phone
(301) 393-2600
Fax
(301) 393-2614
NPI assigned
Jun 23, 2015
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301107437 MI
Pediatrics Physician 208000000X D85246 MD Primary

Addresses

Primary practice location

1161 Omega Dr
Hagerstown, MD 21740

Mailing address

22201 Moross Rd # PB2
Suit 70
Detroit, MI 48236-2169
Phone (313) 343-3800

Other practice location 1

22201 Moross Rd # Pb2
suit 70
Detroit, MI 48236-2169
Phone (313) 343-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180726001161 MD Practitioner - Emergency Medicine 4284981952 Reassigns benefits to 1 organization
I20250723002746 WV Practitioner - Pediatric Medicine 4284981952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301107437MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Single Specialty CurrentSince Jul 12, 2018 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 18, 2025 Accepting new patients
West Virginia University Medical Corporation Single Specialty CurrentSince Jun 18, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 12, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1161 Omega Dr
Hagerstown, MD 21740
Phone (301) 393-2600

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1912389289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD # PB2",
            "address_2": "SUIT 70",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-3800",
            "fax_number": "313-343-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 OMEGA DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-393-2600",
            "fax_number": "301-393-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22201 Moross Rd # Pb2",
            "address_2": "suit 70",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362169",
            "country_code": "US",
            "telephone_number": "313-343-3800",
            "fax_number": "313-343-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATERJI",
        "first_name": "NORA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301107437",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D85246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.