PENINSULA ENDOSCOPY CENTER, LLC
NPI 1023162013
Clinic/Center - Ambulatory Surgical in Delmar, MD
About Peninsula Endoscopy Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA ENDOSCOPY CENTER, LLC (NPI 1023162013) is a healthcare organization registered as an ambulatory surgical in Delmar, Maryland and active in the NPI registry since January 2007. The organization lists Kota L Chandrasekhara, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Endoscopy Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Peninsula Endoscopy Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 39Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peninsula Endoscopy Center, LLC's NPI number?
The NPI number for Peninsula Endoscopy Center, LLC is 1023162013. It was assigned to this organization in the NPPES registry on January 23, 2007.
Where is Peninsula Endoscopy Center, LLC located?
Peninsula Endoscopy Center, LLC is located at 9315 Ocean Highway, Delmar, MD 21875. The listed phone number is (410) 896-9005.
What is Peninsula Endoscopy Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Peninsula Endoscopy Center, LLC enrolled in Medicare?
Yes. Peninsula Endoscopy Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Endoscopy Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 3 Medicare specialties reassign their Medicare billing to Peninsula Endoscopy Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Gastroenterology (25), Pathology (10) and Nurse Practitioner (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Peninsula Endoscopy Center, LLC was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peninsula Endoscopy Center, Llc · NPI 1023162013
Ambulatory Surgical organization in Delmar, Maryland. Organization record, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1023162013 (Entity type: Organization)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Kota Chandrasekhara, PRESIDENT
## Practice location
- **Address:** 9315 OCEAN HIGHWAY, Delmar, MD 21875-2339
- **Phone:** (410) 896-9005 · **Fax:** (410) 896-9337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (25), Pathology (10), Nurse Practitioner (4); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1023162013/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2008
- **Other identifiers:** Medicaid 409018700 (MD); Medicare PIN 21C0001433 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1023162013) · Data from the CMS NPPES public registry.