PRIME PEDIATRICS, LLC
NPI 1316286032
Pediatrics - Adolescent Medicine in Gaithersburg, MD
NPI Status: Active since February 01, 2013
Contact Information
845 QUINCE ORCHARD BLVD STE B
GAITHERSBURG, MD
ZIP 20878
Phone: (301) 977-2440
Fax: (301) 977-4752
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 21D0212907
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-07-2027
About PRIME PEDIATRICS, LLC
This page provides the complete NPI Profile along with additional information for Prime Pediatrics, Llc, a pediatrician established in Gaithersburg, Maryland operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1316286032 assigned on February 2013. The practitioner's primary taxonomy code is 2080A0000X with license number D0058375 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Farnoush Jamali M.d. (Owner)
- NPI
- 1316286032
- Provider Name
- PRIME PEDIATRICS, LLC
- Entity Type
- Organization
- Location Address
- 845 QUINCE ORCHARD BLVD STE B GAITHERSBURG, MD 20878
- Location Phone
- (301) 977-2440
- Location Fax
- (301) 977-4752
- Mailing Address
- 845 QUINCE ORCHARD BLVD STE B GAITHERSBURG, MD 20878
- Mailing Phone
- (301) 977-2440
- Mailing Fax
- (301) 977-4752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2013
- Last Update Date
- 02-01-2013
- Code Navigator
A pediatrician like Prime Pediatrics, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0058375
- License State
- MD
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0400041 00 | MEDICAID (05) | MD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D0212907
- Facility Type
- Physician Office
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- FARNOUSH JAMALI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prime Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 2 | 8 | 6 | 0 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 4 | 8 | 12 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 4 + 8 + 1 + 2 + 0 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1316286032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114461845 | JESSICA ANNE VOSSLER PA-C Individual | Physician Assistant | 845 QUINCE ORCHARD BLVD STE B GAITHERSBURG, MD 20878 (301) 977-2440 |
| 1649812785 | A PLUS PEDIATRICS LLC Organization | Pediatrics | 845 QUINCE ORCHARD BLVD STE B GAITHERSBURG, MD 20878 (301) 977-2440 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316286032, enumerated in the NPI registry as an "organization" on February 01, 2013
The provider is located at 845 Quince Orchard Blvd Ste B Gaithersburg, Md 20878 and the phone number is (301) 977-2440
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 21D0212907 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 01, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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