SHADY GROVE CHILDREN'S GAD, LLC
NPI 1184461063
Anesthesiology in Rockville, MD

Active since July 09, 2024CLIA 21D2301915 · Waiver
15001 SHADY GROVE RD, ROCKVILLE, MD 20850(301) 307-3333(301) 307-5555 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2026, Sep 11, 2024, Jul 9, 2024 (3 updates tracked since 2024).

About Shady Grove Children's Gad, Llc NPPES

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

SHADY GROVE CHILDREN'S GAD, LLC (NPI 1184461063) is a healthcare organization registered as an anesthesiology in Rockville, Maryland and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Jeffrey Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184461063
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSHADY GROVE CHILDREN'S GAD, LLC
Location Address15001 SHADY GROVE RDRockville, MD 20850-6352
Mailing Address1220 Caraway Ct Ste 1050Upper Marlboro, MD 20774-5338 · (301) 494-3000
Fax(301) 307-5555
Organization SubpartNo
Authorized OfficialJeffrey WheelerCeo · (301) 494-3000
Enumeration DateJuly 9, 2024
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1184461063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
15001 SHADY GROVE RD, Rockville, MD 20850

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 21D2301915

Shady Grove Children's Surgery Center, LLC · Rockville, MD
Active · expires Apr 2, 2028
CLIA Number21D2301915
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorDr. Robert S. Dyer
Laboratory Phone(301) 307-3333
Laboratory LocationShady Grove Children's Surgery Center, LLC15001 Shady Grove Rd #120, Rockville, MD 20850
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Anesthetist, Certified Registered
15001 SHADY GROVE RD
ROCKVILLE, MD 20850
Nurse Practitioner (Obstetrics & Gynecology)
15001 SHADY GROVE RD, SUITE 220
ROCKVILLE, MD 20850
Anesthesiology
15001 SHADY GROVE RD
ROCKVILLE, MD 20850
Counselor (Mental Health)
15001 SHADY GROVE RD, SUITE 220
ROCKVILLE, MD 20850
Obstetrics & Gynecology (Reproductive Endocrinology)
15001 SHADY GROVE RD, SUITE 400
ROCKVILLE, MD 20850
Clinical Medical Laboratory
15001 SHADY GROVE RD, SUITE 220
ROCKVILLE, MD 20850
Clinical Medical Laboratory
15001 SHADY GROVE RD, STE 220
ROCKVILLE, MD 20850
Clinic/Center (Primary Care)
15001 SHADY GROVE RD, 2ND FLOOR
ROCKVILLE, MD 20850

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 Shady Grove Children's Gad, LLC's NPI number?

The NPI number for Shady Grove Children's Gad, LLC is 1184461063. It was assigned to this organization in the NPPES registry on July 9, 2024.

Where is Shady Grove Children's Gad, LLC located?

Shady Grove Children's Gad, LLC is located at 15001 Shady Grove Rd, Rockville, MD 20850. The listed phone number is (301) 307-3333.

What is Shady Grove Children's Gad, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does Shady Grove Children's Gad, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2301915) is associated with this NPI, valid through April 2, 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 Shady Grove Children's Gad, LLC was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.