SURGICAL ASSOCIATES, CHARTERED
NPI 1548406960
Surgery - Vascular Surgery in Waldorf, MD
NPI Status: Active since January 07, 2009
Contact Information
12070 OLD LINE CTR
SUITE 306
WALDORF, MD
ZIP 20602
Phone: (301) 868-8485
Fax: (301) 868-0638
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 21D2094781
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-12-2026
About SURGICAL ASSOCIATES, CHARTERED
This page provides the complete NPI Profile along with additional information for Surgical Associates, Chartered, a provider established in Waldorf, Maryland operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1548406960 assigned on January 2009. The practitioner's primary taxonomy code is 2086S0129X with license number D24644 (MD). The provider is registered as an organization and their NPI record was last updated one year ago. Surgical Associates, Chartered operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Burton (Credentialing/contracts Manager)
- NPI
- 1548406960
- Provider Name
- SURGICAL ASSOCIATES, CHARTERED
- Entity Type
- Organization
- Location Address
- 12070 OLD LINE CTR SUITE 306 WALDORF, MD 20602
- Location Phone
- (301) 868-8485
- Location Fax
- (301) 868-0638
- Mailing Address
- 7501 SURRATTS RD SUITE 303 CLINTON, MD 20735
- Mailing Phone
- (301) 868-8485
- Mailing Fax
- (301) 868-0638
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-07-2009
- Last Update Date
- 04-28-2025
- Code Navigator
Location Map
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D24644
- License State
- MD
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | H0061922 (MD) |
| 2 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D0059944 (MD) |
| 3 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | D26021 (MD) |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | C0003134 (MD) |
| 5 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | R119098 (MD) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B94310 | OTHER (01) | UPIN | |
| B66909 | OTHER (01) | UPIN | |
| C62030 | OTHER (01) | UPIN | |
| S98671 | OTHER (01) | UPIN | |
| C62118 | OTHER (01) | UPIN | |
| H43765 | OTHER (01) | UPIN | |
| H04537 | OTHER (01) | UPIN | |
| B94699 | OTHER (01) | UPIN | |
| C76566 | OTHER (01) | UPIN | |
| E93554 | OTHER (01) | UPIN |
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
- 21D2094781
- Facility Type
- Physician Office
- Certificate Effective Date
- August 13, 2024
- Certificate Expiration Date
- August 12, 2026
- Laboratory Director
- RODEEN RAHBAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Surgical Associates, Chartered 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.
Reviews for SURGICAL ASSOCIATES, CHARTERED
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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 1548406960, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
WALDORF, MD 20602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548406960, enumerated as an "organization" on January 07, 2009.
The provider is located at 12070 OLD LINE CTR SUITE 306 WALDORF, MD 20602 and the phone number is (301) 868-8485.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
