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CAPITAL DIGESTIVE CARE, LLC
NPI 1104664648
Internal Medicine - Gastroenterology in Columbia, MD

Active since July 18, 2024CLIA 21D0888155 · Waiver
6230 OLD DOBBIN LN STE 150, COLUMBIA, MD 21045(410) 730-9363(410) 730-2084 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2025, May 6, 2025, Jan 7, 2025 and 2 more (5 updates tracked since 2024).

About Capital Digestive Care, Llc NPPES

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

CAPITAL DIGESTIVE CARE, LLC (NPI 1104664648) is a healthcare organization registered as a gastroenterology in Columbia, Maryland and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2028, maintains a secondary practice location in Columbia, and lists Timothy Short, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104664648
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCAPITAL DIGESTIVE CARE, LLC
Location Address6230 OLD DOBBIN LN STE 150Columbia, MD 21045-5809
Mailing Address10770 Columbia Pike Ste 400Silver Spring, MD 20901-4462 · (240) 485-5200 · Fax (301) 576-8456
Phone(410) 730-9363
Fax(410) 730-2084
Organization SubpartYes
Authorized OfficialTimothy ShortCeo · (757) 803-6483
Enumeration DateJuly 18, 2024
Last NPPES UpdateDecember 22, 20255 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1104664648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6230 OLD DOBBIN LN STE 150, Columbia, MD 21045
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Secondary Practice Location 1

Location 15500 Knoll North Dr Ste 460Columbia, MD 21045-2380 · Phone (410) 730-9363 · Fax (410) 730-2084

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 21D0888155

Capital Digestive Care, LLC · Columbia, MD
Active · expires Jun 23, 2028
CLIA Number21D0888155
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorMarvin E. Lawrence II
Laboratory Phone(410) 730-9363
Laboratory LocationCapital Digestive Care, LLC6230 Old Dobbin Kane Suite 150, Columbia, MD 21045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Capital Digestive Care, LLC's NPI number?

The NPI number for Capital Digestive Care, LLC is 1104664648. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Capital Digestive Care, LLC located?

Capital Digestive Care, LLC is located at 6230 Old Dobbin Ln Ste 150, Columbia, MD 21045. The listed phone number is (410) 730-9363.

What is Capital Digestive Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Capital Digestive Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0888155) is associated with this NPI, valid through June 23, 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 Capital Digestive Care, LLC was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.