Lifebridge Community Pediatrics, LLC
NPI 1629495528 · Pediatrics Physician · Towson, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifebridge Community Pediatrics, LLC is a Pediatrics Physician organization in Towson, MD (NPI 1629495528).
Provider details
- NPI number
- 1629495528
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Wright-Sisk, Director(410) 521-2200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Other names (DBA / former)
- Doing business as
- Main Street Pediatrics
- Doing business as
- Main Street Pediatrics
Registry dates
- Enumerated
- 2014-03-28
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Frequently asked questions
- What is Lifebridge Community Pediatrics, LLC's NPI number?
- Lifebridge Community Pediatrics, LLC's National Provider Identifier (NPI) is 1629495528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifebridge Community Pediatrics, LLC?
- Lifebridge Community Pediatrics, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lifebridge Community Pediatrics, LLC located?
- Lifebridge Community Pediatrics, LLC's practice location on file with NPPES is 849 Fairmont Avenue, Towson, MD 21286-2600.
- What is Lifebridge Community Pediatrics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifebridge Community Pediatrics, LLC is (410) 494-1369.
- Does Lifebridge Community Pediatrics, LLC accept Medicare?
- Lifebridge Community Pediatrics, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lifebridge Community Pediatrics, LLC?
- The authorized official listed on Lifebridge Community Pediatrics, LLC's NPPES record is Mary Wright-Sisk, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifebridge Community Pediatrics, LLC's NPI active?
- Yes — Lifebridge Community Pediatrics, LLC's NPI (1629495528) is active in the NPPES registry as of the last update on 2020-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.