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CHESAPEAKE UROLOGY ASSOCIATES, LLC
NPI 1487479077
Urology in Potomac, MD

Active since November 19, 2024CLIA 21D0901931 · Waiver
12435 PARK POTOMAC AVE STE 410, POTOMAC, MD 20854(866) 953-3111 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Chesapeake Urology Associates, Llc NPPES

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

CHESAPEAKE UROLOGY ASSOCIATES, LLC (NPI 1487479077) is a healthcare organization registered as an urology in Potomac, Maryland and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Sanford Jay Siegel, President, as its authorized official.

NPPES Registry Identity

NPI1487479077
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCHESAPEAKE UROLOGY ASSOCIATES, LLC
Location Address12435 PARK POTOMAC AVE STE 410Potomac, MD 20854-7037
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (443) 471-5839
Phone(866) 953-3111
Organization SubpartNo
Authorized OfficialSanford Jay SiegelPresident · (410) 581-1600
Enumeration DateNovember 19, 2024
Last NPPES UpdateMarch 8, 20252 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
✔ NPI 1487479077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
12435 PARK POTOMAC AVE STE 410, Potomac, MD 20854
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Other Identifiers 1

Medicaid276600155MD

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

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 21D0901931

Chesapeake Urology Associates, LLC · Potomac, MD
Active · expires Jun 9, 2027
CLIA Number21D0901931
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorDr. Juan Litvak
Laboratory Phone(866) 953-3111
Laboratory LocationChesapeake Urology Associates, LLC12435 Park Potomac Street, Potomac, MD 20854
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMIT AMBULATORY SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
12435 PARK POTOMAC AVE STE 410
POTOMAC, MD 20854
Montgomery County (301) 309-8219
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Anesthesiology
12435 PARK POTOMAC AVE STE 410
POTOMAC, MD 20854
Montgomery County (866) 953-3111

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 Chesapeake Urology Associates, LLC's NPI number?

The NPI number for Chesapeake Urology Associates, LLC is 1487479077. It was assigned to this organization in the NPPES registry on November 19, 2024.

Where is Chesapeake Urology Associates, LLC located?

Chesapeake Urology Associates, LLC is located at 12435 Park Potomac Ave Ste 410, Potomac, MD 20854. The listed phone number is (866) 953-3111.

What is Chesapeake Urology Associates, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Chesapeake Urology Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0901931) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chesapeake Urology Associates, LLC was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.