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CHESAPEAKE SPECIALTY CARE
NPI 1275372617
Specialist in Annapolis, MD

Active since May 24, 2024CLIA Certified · 2 labs
2002 MEDICAL PKWY STE 230, ANNAPOLIS, MD 21401(410) 266-3900(410) 266-9245 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chesapeake Specialty Care NPPES

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

CHESAPEAKE SPECIALTY CARE (NPI 1275372617) is a healthcare organization registered as a specialist in Annapolis, Maryland and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Erin Bezek, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275372617
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANNAPOLIS ENT SURGICAL CENTER LLC
Location Address2002 MEDICAL PKWY STE 230Annapolis, MD 21401-3282
Mailing Address2002 Medical Pkwy Ste 230Annapolis, MD 21401-3282 · (410) 266-3900 · Fax (410) 266-9245
Phone(410) 266-3900
Fax(410) 266-9245
Organization SubpartNo
Authorized OfficialErin BezekCredentialing Coordinator · (410) 266-6267
Enumeration DateMay 24, 2024
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1275372617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2002 MEDICAL PKWY STE 230, Annapolis, MD 21401
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Other Names 1

Doing Business AsChesapeake Specialty Care

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chesapeake Specialty Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Chesapeake Specialty Care, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Qualified Audiologist19
Otolaryngology18
Nurse Practitioner4
Physical Therapist in Private Practice4
Allergy/Immunology1
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 47
Bryan Ambro, MD
Otolaryngology
NPI 1821176017
2002 MEDICAL PKWY SUITE #230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Shelby Bonish, AUD
Qualified Audiologist
NPI 1952974487
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
James Chappell, M.D.
Plastic and Reconstructive Surgery
NPI 1326022336
2002 MEDICAL PKWY SUITE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Carrie Davis, AU.D.
Qualified Audiologist
NPI 1194032607
2002 MEDICAL PKWY SUITE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
Gregory Heacock, MD
Otolaryngology
NPI 1689718314
2002 MEDICAL PARKWAY SUITE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOSSame address
Matthew Hilburn, MD
Otolaryngology
NPI 1629036538
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Noel Johns, DNP
Nurse Practitioner
NPI 1225917123
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Samuel Jones, MD
Otolaryngology
NPI 1669008579
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Peter King, M.D.
Otolaryngology
NPI 1760656540
2002 MEDICAL PKWY SUITE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Courtney Lamb, CRNP
Nurse Practitioner
NPI 1821698952
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Victoria Minchang, DPT
Physical Therapist in Private Practice
NPI 1972197580
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
Jamie Olenec, M.D.
Allergy/Immunology
NPI 1093988552
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Juan Pardo, MD
Otolaryngology
NPI 1730223470
2002 MEDICAL PARKWAY SUITE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Kevin Shaigany, M.D.
Otolaryngology
NPI 1245692029
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Caroline Simm, CRNP, FNP
Nurse Practitioner
NPI 1043527567
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOSSame address
Joydeep Som, MD
Otolaryngology
NPI 1568590586
2002 MEDICAL PARKWAY SUITE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Sarah Stallings, AUD
Qualified Audiologist
NPI 1992690952
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
Brittany Tuscany, AU.D.
Qualified Audiologist
NPI 1063968246
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
Erica Hood, PT
Physical Therapist in Private Practice
NPI 1619211620
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
Kimberly Mcgeady
Qualified Audiologist
NPI 1457717480
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ Accepts MedicareSame address
See all 47 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 21D2338033

Chesapeake Specialty Care A Member Of The Univ Of · Prince Frederick, MD
Active · expires Feb 3, 2028
CLIA Number21D2338033
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorKatherine S. Perry
Laboratory Phone(410) 266-3900
Laboratory LocationChesapeake Specialty Care A Member Of The Univ Of130 Hospital Rd Ste 101, Prince Frederick, MD 20678
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2202094

Chesapeake Specialty Care A Member Of The Univ Of · Annapolis, MD
Active · expires Nov 23, 2026
CLIA Number21D2202094
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorDr. J Michael Pardo
Laboratory Phone(410) 266-3900
Laboratory LocationChesapeake Specialty Care A Member Of The Univ Of2002 Medical Pkwy #230, Annapolis, MD 21401
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 Annapolis Ent Surgical Center LLC's NPI number?

The NPI number for Annapolis Ent Surgical Center LLC is 1275372617. It was assigned to this organization in the NPPES registry on May 24, 2024. The provider is doing business as Chesapeake Specialty Care.

Where is Annapolis Ent Surgical Center LLC located?

Annapolis Ent Surgical Center LLC is located at 2002 Medical Pkwy Ste 230, Annapolis, MD 21401. The listed phone number is (410) 266-3900.

What is Annapolis Ent Surgical Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Annapolis Ent Surgical Center LLC enrolled in Medicare?

Yes. Annapolis Ent Surgical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Annapolis Ent Surgical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 6 Medicare specialties reassign their Medicare billing to Annapolis Ent Surgical 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 Qualified Audiologist (19), Otolaryngology (18) and Nurse Practitioner (4). Of these, 24 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Annapolis Ent Surgical Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Annapolis Ent Surgical Center LLC was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.