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PHOENIX SURGICAL CARE
NPI 1518593797
Surgery in Frederick, MD

Active since March 19, 2020
174 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702(301) 662-2000(301) 662-2500 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2022, Sep 22, 2020, Mar 31, 2020 and 1 more (4 updates tracked since 2020).

About Phoenix Surgical Care NPPES

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

PHOENIX SURGICAL CARE (NPI 1518593797) is a healthcare organization registered as a surgery in Frederick, Maryland and active in the NPI registry since March 2020. The organization maintains 2 additional practice locations and lists Jasmine Malcolm, Owner, as its authorized official.

NPPES Registry Identity

NPI1518593797
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePHOENIX SURGICAL CARE LLC
Location Address174 THOMAS JOHNSON DR STE 100Frederick, MD 21702-4569
Mailing Address174 Thomas Johnson Dr Ste 100Frederick, MD 21702-4569 · (301) 662-2000 · Fax (301) 662-2500
Phone(301) 662-2000
Fax(301) 662-2500
Organization SubpartNo
Authorized OfficialJasmine MalcolmOwner · (301) 662-2000
Enumeration DateMarch 19, 2020
Last NPPES UpdateJuly 12, 20224 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1518593797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
174 THOMAS JOHNSON DR STE 100, Frederick, MD 21702
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Other Names 1

Doing Business AsPhoenix Surgical Care

Secondary Practice Locations 2

Location 1197 Thomas Johnson DrFrederick, MD 21702-4314 · Phone (301) 662-2000
Location 277 Thomas Johnson Dr Ste KFrederick, MD 21702-4893 · Phone (301) 662-2000 · Fax (301) 662-2500

Other Identifiers 1

OtherD0073819MD · State Of Maryland (department Of Health)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Phoenix Surgical Care 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 Phoenix Surgical Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jasmine Malcolm, MD
General Surgery
NPI 1750520888
174 THOMAS JOHNSON DR STE 100
Frederick, MD 21702
(301) 662-2000
✔ 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 Phoenix Surgical Care LLC's NPI number?

The NPI number for Phoenix Surgical Care LLC is 1518593797. It was assigned to this organization in the NPPES registry on March 19, 2020. The provider is doing business as Phoenix Surgical Care.

Where is Phoenix Surgical Care LLC located?

Phoenix Surgical Care LLC is located at 174 Thomas Johnson Dr Ste 100, Frederick, MD 21702. The listed phone number is (301) 662-2000.

What is Phoenix Surgical Care LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Phoenix Surgical Care LLC enrolled in Medicare?

Yes. Phoenix Surgical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Surgical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Phoenix Surgical Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phoenix Surgical Care LLC was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.