NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC
NPI 1285944504
Clinic/Center - Ambulatory Surgical in Prince Frederick, MD

Q: What is Newbridge Surgery Center At Prince Frederick, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 20, 2010CLIA Certified · 2 labs

80 SHERRY LN STE 101B, PRINCE FREDERICK, MD 20678(410) 414-9229(410) 414-9339 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2025, Jul 21, 2022 (2 updates tracked since 2022).

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About Newbridge Surgery Center At Prince Frederick, Llc NPPES

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

NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC (NPI 1285944504) is a healthcare organization registered as an ambulatory surgical in Prince Frederick, Maryland and active in the NPI registry since October 2010. The organization holds 2 active CLIA laboratory certificates and lists Mruthyunjaya Gonchigar, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1285944504

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC

Location Address80 SHERRY LN STE 101BPrince Frederick, MD 20678-3232

Mailing Address196 Thomas Johnson Dr, Suite 215Frederick, MD 21702-4397 · (301) 668-9988 · Fax (301) 668-9977

Phone(410) 414-9229

Fax(410) 414-9339

Organization SubpartNo

Authorized OfficialMruthyunjaya GonchigarSole Owner · (301) 461-6687

Enumeration DateOctober 20, 2010

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1285944504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

80 SHERRY LN STE 101B, Prince Frederick, MD 20678

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newbridge Surgery Center At Prince Frederick, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Newbridge Surgery Center At Prince Frederick, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ashraf Sabahat, MD

Pain Management

NPI 1386654051

220 STEUBEN ST
Montour Falls, NY 14865

(607) 535-8626

✔ PECOS✔ Accepts Medicare264 mi

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 21D2026051

Newbridge Surgery Center At Prince Frederick, LLC · Prince Frederick, MD

Active · expires Jun 22, 2027

CLIA Number21D2026051

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorDr. Mruthyunjaya Gonchigar

Laboratory Phone(301) 668-9988

Laboratory LocationNewbridge Surgery Center At Prince Frederick, LLC80 Sherry Lane, Prince Frederick, MD 20678

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2021232

Newbridge Surgery Center At Frederick, LLC · Frederick, MD

Active · expires Mar 8, 2027

CLIA Number21D2021232

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 9, 2025

Certificate Expiration DateMarch 8, 2027

Laboratory DirectorDr. Mruthyunjaya Gonchigar

Laboratory Phone(301) 668-9988

Laboratory LocationNewbridge Surgery Center At Frederick, LLC196 Thomas Johnson Dr Ste 215, Frederick, MD 21702

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

173 services64 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

95 services75 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

94 services58 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

74 services35 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

42 services17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

21 services19 patients

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 Newbridge Surgery Center At Prince Frederick, LLC's NPI number?

The NPI number for Newbridge Surgery Center At Prince Frederick, LLC is 1285944504. It was assigned to this organization in the NPPES registry on October 20, 2010.

Where is Newbridge Surgery Center At Prince Frederick, LLC located?

Newbridge Surgery Center At Prince Frederick, LLC is located at 80 Sherry Ln Ste 101B, Prince Frederick, MD 20678. The listed phone number is (410) 414-9229.

What is Newbridge Surgery Center At Prince Frederick, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Newbridge Surgery Center At Prince Frederick, LLC enrolled in Medicare?

Yes. Newbridge Surgery Center At Prince Frederick, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newbridge Surgery Center At Prince Frederick, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Newbridge Surgery Center At Prince Frederick, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newbridge Surgery Center At Prince Frederick, 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 Newbridge Surgery Center At Prince Frederick, LLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.