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Active NPI 1720063803 Individual Practitioner Female Practitioner

Dr. Manjula Basu , MD

Pediatrics • Ft Meade, MD

Professional Overview & Biography Verified Profile Summary

Dr. Manjula Basu, MD is a registered healthcare professional specializing in Pediatrics in Ft Meade, MD. Practice services are available at 2480 LLEWELLYN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2480 Llewellyn Ave
Kimbrough Ambulatory Care Center

Ft Meade, MD 207555800

Telephone 3016778270

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ft Meade, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Ft Meade, MD (1907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D0025252

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gilbert Long , LVN

Licensed Vocational Nurse

NPI 1013054915

Licensed Vocational Nurse

Janet Jones , RN

Registered Nurse

NPI 1013056415

Registered Nurse

Roycelyn Bowman

Registered Nurse

NPI 1063558575
Regina Johnson

Nurse's Aide

NPI 1063562676
Tamatha Davis , LPN

Licensed Practical Nurse

NPI 1073650974

Licensed Practical Nurse

NPI 1104807320

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 207555800 (Tel: 3016778270)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 207555800 (Tel: 3016778270)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MANJULA BASU, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #D0025252 in MD)

🟢
Initial NPI Registration & Enumeration December 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720063803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2480 Llewellyn Ave, Kimbrough Ambulatory Care Center

Ft Meade, MD 207555800

Phone: 3016778270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.