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DEEP CREEK COLON AND RECTAL SURGERY, PC
NPI 1356840995
Colon & Rectal Surgery in Oakland, MD

Active since February 09, 2018
880 MEMORIAL DR, OAKLAND, MD 21550(301) 334-1066(877) 504-1066 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2019, Mar 15, 2019, Jul 18, 2018 (3 updates tracked since 2018).

About Deep Creek Colon And Rectal Surgery, Pc NPPES

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

DEEP CREEK COLON AND RECTAL SURGERY, PC (NPI 1356840995) is a healthcare organization registered as a colon & rectal surgery in Oakland, Maryland and active in the NPI registry since February 2018. The organization lists Klaus Schmidt, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1356840995
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameDEEP CREEK COLON AND RECTAL SURGERY, PC
Location Address880 MEMORIAL DROakland, MD 21550-5114
Mailing Address880 Memorial DrOakland, MD 21550-5114 · (301) 334-4340 · Fax (877) 504-1066
Phone(301) 334-1066
Fax(877) 504-1066
Organization SubpartNo
Authorized OfficialKlaus SchmidtPractice Administrator · (301) 334-4340
Enumeration DateFebruary 9, 2018
Last NPPES UpdateMay 30, 20193 updates tracked since enumeration
✔ NPI 1356840995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in MD · D0068477
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License D0068477 (MD)
880 MEMORIAL DR, Oakland, MD 21550
Open in Google Maps ↗

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)

Deep Creek Colon And Rectal Surgery, Pc 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 Deep Creek Colon And Rectal Surgery, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lynda Dougherty, M.D.
Colorectal Surgery (Proctology)
NPI 1376534149
880 MEMORIAL DR
Oakland, MD 21550
(301) 334-4340
✔ PECOS✔ Accepts MedicareSame address

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

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 Deep Creek Colon And Rectal Surgery, PC's NPI number?

The NPI number for Deep Creek Colon And Rectal Surgery, PC is 1356840995. It was assigned to this organization in the NPPES registry on February 9, 2018.

Where is Deep Creek Colon And Rectal Surgery, PC located?

Deep Creek Colon And Rectal Surgery, PC is located at 880 Memorial Dr, Oakland, MD 21550. The listed phone number is (301) 334-1066.

What is Deep Creek Colon And Rectal Surgery, PC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Deep Creek Colon And Rectal Surgery, PC enrolled in Medicare?

Yes. Deep Creek Colon And Rectal Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deep Creek Colon And Rectal Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Deep Creek Colon And Rectal Surgery, PC. 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.

When was this NPI record last updated?

The NPPES record for Deep Creek Colon And Rectal Surgery, PC was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.