Organization Active NPI

Sujata Qasba, MD

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1992276430
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SUJATA QASBA, MD
Practice address
3450 Fort Meade Rd Ste 107
Laurel, MD 20724-2040
Phone
(301) 776-2700
Fax
(301) 776-2700
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Dr. Sujata Kaw Qasba, MDNPI 1780682765
Title
Physician
Phone
(301) 776-2700

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 1

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

Addresses

Primary practice location

3450 Fort Meade Rd Ste 107
Laurel, MD 20724-2040

Mailing address

3450 Fort Meade Rd Ste 107
Laurel, MD 20724-2040
Phone (301) 776-2700

Other identifiers 1

IdentifierTypeStateIssuer
1780682765MedicaidMD

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
21D0960443Sujata Qasba MD3450 Fort Meade Road Ste 107, Laurel, MD 20724Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory

Locations

3450 Laurel Fort Meade Rd
Ste 107
Laurel, MD 20724
Phone (301) 776-2700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1992276430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORT MEADE RD STE 107",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-776-2700",
            "fax_number": "301-776-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FORT MEADE RD STE 107",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-776-2700",
            "fax_number": "301-776-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJATA QASBA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "QASBA",
        "authorized_official_first_name": "SUJATA",
        "authorized_official_middle_name": "KAW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-776-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780682765",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.