MARYLAND AMBULATORY SURGERY CENTER LLC
NPI 1487280871
Clinic/Center - Ambulatory Surgical in Lanham, MD

NPI Status: Active since March 17, 2020

Contact Information

7501 FORBES BLVD STE 103
LANHAM, MD
ZIP 20706
Phone: (202) 498-1125
Fax: (240) 770-0436

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 21D2218974
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-31-2027

About MARYLAND AMBULATORY SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Maryland Ambulatory Surgery Center Llc, a provider established in Lanham, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1487280871 assigned on March 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Tristan Shockley (Owner)

NPI
1487280871
Provider Name
MARYLAND AMBULATORY SURGERY CENTER LLC
Entity Type
Organization
Location Address
7501 FORBES BLVD STE 103 LANHAM, MD 20706
Location Phone
(202) 498-1125
Location Fax
(240) 770-0436
Mailing Address
7501 FORBES BLVD STE 103 LANHAM, MD 20706
Mailing Phone
(301) 850-4401
Mailing Fax
(240) 770-0436
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2020
Last Update Date
06-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRISTAN SHOCKLEY

Authorized Official Title
OWNER
Authorized Official Phone
(301) 850-4401

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 66 times for 41 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2218974
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 01, 2025
Certificate Expiration Date
March 31, 2027
Laboratory Director
DR. TRISTAN J. SHOCKLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Maryland Ambulatory Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487280871, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 4 + 8 + 0 + 8 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1487280871.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
7501 FORBES BLVD STE 103
LANHAM, MD 20706
Surgery
7501 FORBES BLVD STE 103
LANHAM, MD 20706
Nurse Anesthetist, Certified Registered
7501 FORBES BLVD STE 103
LANHAM, MD 20706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487280871, enumerated as an "organization" on March 17, 2020.

The provider is located at 7501 FORBES BLVD STE 103 LANHAM, MD 20706 and the phone number is (202) 498-1125.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.