Organization Active NPI

Menchavez Pediatrics, LLC

  • Pediatrics Physician
  • Cumberland, MD
National Provider Identifier
1992836167
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MENCHAVEZ PEDIATRICS, LLC
Practice address
915 Bishop Walsh Rd
Cumberland, MD 21502-1850
Phone
(301) 777-2722
Fax
(301) 777-2736
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Celestino Monzon Menchavez, MDNPI 1144373549
Title
Owner
Phone
(301) 777-2722

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

915 Bishop Walsh Rd
Cumberland, MD 21502-1850

Mailing address

915 Bishop Walsh Rd
Cumberland, MD 21502-1850
Phone (301) 777-2722

Other identifiers 1

IdentifierTypeStateIssuer
409455700MedicaidMD

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
21D0219995Menchavez Pediatrics915 Bishop Walsh Road, Cumberland, MD 21502Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

902 Seton Dr
Ste 201
Cumberland, MD 21502
Phone (301) 777-2722

915 Bishop Walsh Rd
Ste 1
Cumberland, MD 21502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/478/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1992836167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021850",
            "telephone_number": "301-777-2722",
            "fax_number": "301-777-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021850",
            "telephone_number": "301-777-2722",
            "fax_number": "301-777-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENCHAVEZ PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MENCHAVEZ",
        "authorized_official_first_name": "CELESTINO",
        "authorized_official_middle_name": "MONZON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-777-2722",
        "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": "409455700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.