NIX DIRECT ACCESS PEDIATRICS PC – NPI #1720727753
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

NIX DIRECT ACCESS PEDIATRICS PC is a provider located in MITCHELLVILLE, MD. NPPES has assigned the NPI number 1720727753 to NIX DIRECT ACCESS PEDIATRICS PC on May 27, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was last updated on Aug 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NIX DIRECT ACCESS PEDIATRICS PC below.

NPI Profile for
NIX DIRECT ACCESS PEDIATRICS PC

NPI Number
1720727753
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NIX DIRECT ACCESS PEDIATRICS PC
Primary location
10274 LAKE ARBOR WAY STE 201
MITCHELLVILLE, MD 20721-3146
Phone: (301) 823-5999 Fax: (301) 823-5990
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIJANA NIX
CEO
Phone: (301) 823-5999
Updated
Certification Date
May 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NIX DIRECT ACCESS PEDIATRICS PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNPIMD1043368756
medicaidMD319072200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
[email protected]
Content Type
Affiliation
N
Endpoint Location
7525 GREENWAY CENTER DR STE 215,
GREENBELT, MD 77025-1669