HORIZON VASCULAR SPECIALISTS
NPI 1366449365
Surgery - Vascular Surgery in Germantown, MD

Active since July 05, 2005CLIA 21D2305589 · Waiver
20410 OBSERVATION DRIVE, SUITE 100, GERMANTOWN, MD 20876(301) 762-0277(301) 330-9108 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Horizon Vascular Specialists NPPES

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

HORIZON VASCULAR SPECIALISTS (NPI 1366449365) is a healthcare organization registered as a vascular surgery in Germantown, Maryland and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Robert Fox, Partner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366449365
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameHORIZON SURGICAL GROUP, PA
Location Address20410 OBSERVATION DRIVE, SUITE 100Germantown, MD 20876-6419
Mailing Address20410 Observation Drive, Suite 100Germantown, MD 20876-6419 · (301) 762-0277 · Fax (301) 330-9108
Fax(301) 330-9108
Organization SubpartNo
Authorized OfficialRobert FoxPartner/authorized Official · (301) 330-1000
Enumeration DateJuly 5, 2005
Last NPPES UpdateMarch 22, 2017
✔ NPI 1366449365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
20410 OBSERVATION DRIVE, Germantown, MD 20876

Other Names 1

Doing Business AsHorizon Vascular Specialists

Other Identifiers 3

Medicare PIN328PMD
Medicaid915011100MD
Medicare PIN153849DC

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)

Horizon Vascular Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Horizon Vascular Specialists, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Vascular Surgery
NPI 1174613418
20410 OBSERVATION DR SUITE 100
Germantown, MD 20876
(301) 330-1000
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1073839833
20410 OBSERVATION DR STE 100
Germantown, MD 20876
(301) 762-0277
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1871771808
20410 OBSERVATION DR SUITE 100
Germantown, MD 20876
(301) 330-1000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992668420
20410 OBSERVATION DR STE 100
Germantown, MD 20876
(301) 762-0277
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1952309635
20410 OBSERVATION DR SUITE 100
Germantown, MD 20876
(301) 330-1000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033534102
20410 OBSERVATION DR STE 100
Germantown, MD 20876
(301) 762-0277
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1851559223
20410 OBSERVATION DRIVE SUITE 104
Germantown, MD 20876
(301) 212-4264
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649458787
400 W 7TH ST
Frederick, MD 21701
(240) 566-3644
✔ PECOS18 mi
Nurse Practitioner
NPI 1215532346
110 IRVING ST NW
Washington, DC 20010
(202) 877-7000
✔ PECOS22 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

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 21D2305589

Horizon Vascular ASC · Germantown, MD
Active · expires Jun 3, 2028
CLIA Number21D2305589
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorDr. Shan-E-Ali Haider
Laboratory Phone(301) 762-0277
Laboratory LocationHorizon Vascular ASC20410 Observation Dr #101, Germantown, MD 20876
CLIA data matches this NPI record on: Address 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 Horizon Surgical Group, PA's NPI number?

The NPI number for Horizon Surgical Group, PA is 1366449365. It was assigned to this organization in the NPPES registry on July 5, 2005. The provider is doing business as Horizon Vascular Specialists.

Where is Horizon Surgical Group, PA located?

Horizon Surgical Group, PA is located at 20410 Observation Drive Suite 100, Germantown, MD 20876. The listed phone number is (301) 762-0277.

What is Horizon Surgical Group, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Horizon Surgical Group, PA enrolled in Medicare?

Yes. Horizon Surgical Group, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Horizon Surgical Group, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Horizon Surgical Group, PA. 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 Nurse Practitioner (4), Vascular Surgery (4) and Diagnostic Radiology (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Horizon Surgical Group, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2305589) is associated with this NPI, valid through June 3, 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 Horizon Surgical Group, PA was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.