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MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC
NPI 1083855092
Clinic/Center - Endoscopy in Annapolis, MD

Active since March 20, 2009CLIA 21D2005132 · Waiver
621 RIDGELY AVE, SUITE 105, ANNAPOLIS, MD 21401(410) 224-3636(410) 224-6971 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maryland Diagnostic And Therapeutic Endo Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC (NPI 1083855092) is a healthcare organization registered as an endoscopy in Annapolis, Maryland and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Michael S. Epstein, President, as its authorized official.

NPPES Registry Identity

NPI1083855092
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameMARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC
Location Address621 RIDGELY AVE, SUITE 105Annapolis, MD 21401-1081
Mailing Address621 Ridgely Ave, Suite 105Annapolis, MD 21401-1081 · (410) 224-3636 · Fax (410) 224-6971
Phone(410) 224-3636
Fax(410) 224-6971
Organization SubpartNo
Authorized OfficialMichael S. EpsteinPresident · (410) 266-1588
Enumeration DateMarch 20, 2009
Last NPPES UpdateFebruary 19, 2015
✔ NPI 1083855092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
621 RIDGELY AVE, Annapolis, MD 21401
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN180578MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2005132

Maryland Diagnostic And Therapeutic Endo Center · Annapolis, MD
Active · expires Mar 21, 2028
CLIA Number21D2005132
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorBarry J. Cukor
Laboratory Phone(410) 224-3636
Laboratory LocationMaryland Diagnostic And Therapeutic Endo Center621 Ridgely Ave, Ste 101, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
440 services439 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
412 services408 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
307 services307 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
116 services116 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
53 services52 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
52 services52 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIGESTIVE DISORDERS ASSOCIATES PC
Specialist
621 RIDGELY AVE, SUITE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-1588
ARUNDEL AMBULATORY SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
621 RIDGELY AVE, SUITE 401
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2811
DR. BEVERLY ANN JIMENEZ DDS
Dentist (Pediatric Dentistry)
621 RIDGELY AVE, SUITE 206
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2660
MARLA KUSH PROKOP, DMD, PA
Dentist (Pediatric Dentistry)
621 RIDGELY AVE, SUITE 202
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-1931
EARL LEROY CHAMBERS DDS
Dentist (General Practice)
621 RIDGELY AVE, SUITE 206
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2660
DR. BARRY J CUKOR MD
Internal Medicine (Gastroenterology)
621 RIDGELY AVE, SUITE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
MISS DANIELLE RENEE BLANKENSHIP CRNA
Nurse Anesthetist, Certified Registered
621 RIDGELY AVE, STE 101
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887
DR. CHARLES EDMOND KING JR. M.D.
Internal Medicine (Gastroenterology)
621 RIDGELY AVE, SUITE 201
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-4887

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 Maryland Diagnostic And Therapeutic Endo Center, LLC's NPI number?

The NPI number for Maryland Diagnostic And Therapeutic Endo Center, LLC is 1083855092. It was assigned to this organization in the NPPES registry on March 20, 2009.

Where is Maryland Diagnostic And Therapeutic Endo Center, LLC located?

Maryland Diagnostic And Therapeutic Endo Center, LLC is located at 621 Ridgely Ave Suite 105, Annapolis, MD 21401. The listed phone number is (410) 224-3636.

What is Maryland Diagnostic And Therapeutic Endo Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Maryland Diagnostic And Therapeutic Endo Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2005132) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Diagnostic And Therapeutic Endo Center, LLC was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.