OrganizationActive
Potomac Pediatrics, P.C.
NPI 1477806289 · Non-Pharmacy Dispensing Site · Rockville, MD
Potomac Pediatrics, P.C. is a Non-Pharmacy Dispensing Site organization in Rockville, MD (NPI 1477806289).
Provider details
- NPI number
- 1477806289
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Potomac Pediatrics, P.C.
- Organization subpart
- Yes
- Authorized official
- Caron Glassman, President(301) 279-6750
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
15204 Omega Dr
Rockville, MD 20850-4601
Phone: (301) 279-6750
Street-level locationGet directions
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
Other names (DBA / former)
- Other name
- Potomac Pediatrics, Suite 5
Registry dates
- Enumerated
- 2012-10-17
- Last updated
- 2012-10-17
Frequently asked questions
- What is Potomac Pediatrics, P.C.'s NPI number?
- Potomac Pediatrics, P.C.'s National Provider Identifier (NPI) is 1477806289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potomac Pediatrics, P.C.?
- Potomac Pediatrics, P.C. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Potomac Pediatrics, P.C. located?
- Potomac Pediatrics, P.C.'s practice location on file with NPPES is 15204 Omega Dr, Rockville, MD 20850-4601.
- What is Potomac Pediatrics, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Potomac Pediatrics, P.C. is (301) 279-6750.
- Who is the authorized official for Potomac Pediatrics, P.C.?
- The authorized official listed on Potomac Pediatrics, P.C.'s NPPES record is Caron Glassman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potomac Pediatrics, P.C.'s NPI active?
- Yes — Potomac Pediatrics, P.C.'s NPI (1477806289) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.