PRIMARY PEDIATRICS NPI 1801783725

NPI Information

  • NPI: 1801783725
  • Provider Name: PRIMARY PEDIATRICS
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 21D0213515
  • Address: 12520 PROSPERITY DRIVE
    SUITE #150
    SILVER SPRING, MD
    ZIP 20904
  • Phone: (301) 989-0085

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NPI Details

PRIMARY PEDIATRICS is an adolescent medicine pediatrics in Silver Spring, MD. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PRIMARY PEDIATRICS NPI is 1801783725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12520 PROSPERITY DRIVE
SUITE #150
SILVER SPRING, MD
ZIP 20904
Phone: (301) 989-0085
Fax: (301) 989-9063

The provider's authorized official is Valorie Anlage .
The authorized official title is President and has the following contact phone number (301) 776-8000.

The CLIA number assigned to this NPI record is 21D0213515 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2025 and was last updated on 6/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1910111000MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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