OrganizationActive
Privia Medical Group, LLC
NPI 1104688860 · Pediatrics Physician · Fulton, MD
Privia Medical Group, LLC is a Pediatrics Physician organization in Fulton, MD (NPI 1104688860).
Provider details
- NPI number
- 1104688860
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Gabbai, Enrollment Manager(484) 569-9066
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7625 Maple Lawn Blvd Ste 145
Fulton, MD 20759-2565
Phone: (410) 224-7667
Street-level locationGet directions
Mailing address
950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Frequently asked questions
- What is Privia Medical Group, LLC's NPI number?
- Privia Medical Group, LLC's National Provider Identifier (NPI) is 1104688860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Privia Medical Group, LLC?
- Privia Medical Group, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Privia Medical Group, LLC located?
- Privia Medical Group, LLC's practice location on file with NPPES is 7625 Maple Lawn Blvd Ste 145, Fulton, MD 20759-2565.
- What is Privia Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group, LLC is (410) 224-7667.
- Who is the authorized official for Privia Medical Group, LLC?
- The authorized official listed on Privia Medical Group, LLC's NPPES record is Maria Gabbai, Enrollment Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Privia Medical Group, LLC's NPI active?
- Yes — Privia Medical Group, LLC's NPI (1104688860) is active in the NPPES registry as of the last update on 2024-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.