Active NPI
Kidsdoctelehealth Corp
- Pediatrics Physician
- Poolesville, MD
National Provider Identifier
1992617591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- KIDSDOCTELEHEALTH CORP
- Practice address
- 17001 Bennett Way
Poolesville, MD 20837-2259 - Phone
- (240) 370-4707
- NPI assigned
- Sep 18, 2026
- Last updated
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Hussain, MD
- Title
- Ceo
- Phone
- (240) 370-4707
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
17001 Bennett Way
Poolesville, MD 20837-2259
Mailing address
17001 Bennett Way
Poolesville, MD 20837-2259
Phone (240) 370-4707
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Olney, MD
- NPI 1114440880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1992617591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17001 BENNETT WAY",
"city": "POOLESVILLE",
"state": "MD",
"postal_code": "208372259",
"telephone_number": "240-370-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17001 BENNETT WAY",
"city": "POOLESVILLE",
"state": "MD",
"postal_code": "208372259",
"telephone_number": "240-370-4707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDSDOCTELEHEALTH CORP",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "HUSSAIN",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-370-4707",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poolesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.