CHESAPEAKE UROLOGY ASSOCIATES, LLC
NPI 1487479077
Urology in Potomac, MD
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chesapeake Urology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
96Medicare enrollment records show 96 clinicians reassign Medicare billing to Chesapeake Urology Associates, LLC, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 96Source: 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 21D0901931
Chesapeake Urology Associates, LLC · Potomac, MDFrequently 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.
Is Chesapeake Urology Associates, LLC enrolled in Medicare?
Yes. Chesapeake Urology Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chesapeake Urology Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 96 clinicians in 5 Medicare specialties reassign their Medicare billing to Chesapeake Urology Associates, 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. The largest specialties are Urology (63), Pathology (12) and Nurse Practitioner (11). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
# Chesapeake Urology Associates, Llc · NPI 1487479077
Urology organization in Potomac, Maryland. Organization record, active in the CMS NPPES registry since November 19, 2024.
## Identity
- **NPI:** 1487479077 (Entity type: Organization)
- **Enumerated:** November 19, 2024
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Sanford Siegel, PRESIDENT
## Practice location
- **Address:** 12435 PARK POTOMAC AVE STE 410, Potomac, MD 20854-7037
- **Phone:** (866) 953-3111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 96 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (63), Pathology (12), Nurse Practitioner (11); 30 practice within 10 miles; [full list](https://npiprofile.com/npi/1487479077/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2025
- **Other identifiers:** Medicaid 276600155 (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487479077) · Data from the CMS NPPES public registry.