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BETHESDA ENDOSCOPY CENTER, LLC
NPI 1609568922
Clinic/Center - Ambulatory Surgical in North Bethesda, MD

Active since May 24, 2023CLIA 21D2292828 · Waiver
6100 EXECUTIVE BLVD STE 300, NORTH BETHESDA, MD 20852(301) 530-2800(301) 530-9560 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2025, May 24, 2023 (2 updates tracked since 2023).

About Bethesda Endoscopy Center, Llc NPPES

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

BETHESDA ENDOSCOPY CENTER, LLC (NPI 1609568922) is a healthcare organization registered as an ambulatory surgical in North Bethesda, Maryland and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Sue Atkinson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609568922
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBETHESDA ENDOSCOPY CENTER, LLC
Location Address6100 EXECUTIVE BLVD STE 300North Bethesda, MD 20852-3902
Mailing Address6100 Executive Blvd Ste 300Rockville, MD 20852-3913 · (301) 530-2880 · Fax (240) 621-8656
Phone(301) 530-2800
Fax(301) 530-9560
Organization SubpartNo
Authorized OfficialSue AtkinsonAdministrator · (301) 530-2800
Enumeration DateMay 24, 2023
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1609568922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6100 EXECUTIVE BLVD STE 300, North Bethesda, MD 20852
Open in Google Maps ↗

Other Names 1

Other NameExecutive Blvd Location

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 21D2292828

Bethesda Endoscopy Center · Rockville, MD
Active · expires Oct 30, 2027
CLIA Number21D2292828
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorSoonbok Grace Woo
Laboratory Phone(301) 530-2800
Laboratory LocationBethesda Endoscopy Center6100 Executive Blvd Suite 300, Rockville, MD 20852
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
451 services449 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
238 services235 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
185 services184 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
76 services76 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
65 services65 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
51 services51 patients

Other Providers at the Same Location NPPES 3

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

PRIVIA MEDICAL GROUP, LLC
Internal Medicine
6100 EXECUTIVE BLVD STE 300
ROCKVILLE, MD 20852
Montgomery County (301) 530-2800
PRIVIA MEDICAL GROUP, LLC
Internal Medicine
6100 EXECUTIVE BLVD STE 300
ROCKVILLE, MD 20852
Montgomery County (301) 530-2800
PRIVIA MEDICAL GROUP, LLC
Internal Medicine
6100 EXECUTIVE BLVD STE 300
ROCKVILLE, MD 20852
Montgomery County (301) 530-2800

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 Bethesda Endoscopy Center, LLC's NPI number?

The NPI number for Bethesda Endoscopy Center, LLC is 1609568922. It was assigned to this organization in the NPPES registry on May 24, 2023. The provider is also known as Executive Blvd location.

Where is Bethesda Endoscopy Center, LLC located?

Bethesda Endoscopy Center, LLC is located at 6100 Executive Blvd Ste 300, North Bethesda, MD 20852. The listed phone number is (301) 530-2800.

What is Bethesda Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Bethesda Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2292828) is associated with this NPI, valid through October 30, 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 Bethesda Endoscopy Center, LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.