POTOMAC UROLOGY SURGERY CENTER, LLC
NPI 1629659800
Clinic/Center - Ambulatory Surgical in Oxon Hill, MD

NPI Status: Active since April 19, 2021

Contact Information

251 NATIONAL HARBOR BLVD # 400A
OXON HILL, MD
ZIP 20745
Phone: (703) 680-2111
Fax: (703) 878-3939

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 49D2004817
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-31-2027

About POTOMAC UROLOGY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Potomac Urology Surgery Center, Llc, a provider established in Oxon Hill, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1629659800 assigned on April 2021. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Pratik S Desai Md (President)

NPI
1629659800
Provider Name
POTOMAC UROLOGY SURGERY CENTER, LLC
Entity Type
Organization
Location Address
251 NATIONAL HARBOR BLVD # 400A OXON HILL, MD 20745
Location Phone
(703) 680-2111
Location Fax
(703) 878-3939
Mailing Address
2296 OPITZ BLVD STE 350 WOODBRIDGE, VA 22191
Mailing Phone
(703) 680-2111
Mailing Fax
(703) 878-3939
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2021
Last Update Date
04-19-2021
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PRATIK S DESAI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 680-2111

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiation therapy planning

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

This service was performed 15 times for 15 patients

Biopsy of prostate gland

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

This service was performed 133 times for 133 patients

Brachytherapy source, non-stranded, iodine-125, per source

Brachytherapy with iodine-125 involves placing tiny radioactive seeds in or near a tumor. These seeds emit radiation to destroy cancer cells while sparing surrounding healthy tissue. Each seed is about the size of a grain of rice. This therapy is used for various types of cancer.

This service was performed 1,325 times for 15 patients

Complex application of radiation source

Complex application of radiation source is a medical procedure used in cancer treatment. It involves the careful placement of radioactive materials in or near the tumor. This helps to destroy cancer cells while minimizing damage to healthy tissues. It's a precise and targeted approach.

This service was performed 15 times for 15 patients

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants

Cystourethroscopy with insertion of transprostatic implant is a procedure where tiny implants are placed in the prostate area via a thin tube inserted through the urinary passage. This helps to manage urinary flow issues. Four or more implants may be used.

This service was performed 17 times for 17 patients

Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)

This procedure involves using a scope to examine the urinary tract, from the kidney to the bladder, and using sound waves to break up any stones found. A special tube is then used to remove the fragments. This helps ensure a clear and healthy urinary system.

This service was performed 15 times for 13 patients

Design and construction of simple radiation treatment device

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

This service was performed 15 times for 15 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

This service was performed 12 times for 12 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

This service was performed 14 times for 14 patients

Diagnostic exam of bladder and urethra using an endoscope

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

This service was performed 118 times for 115 patients

Dilation of urethra using an endoscope

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

This service was performed 19 times for 19 patients

Exam with injections of chemical for destruction of bladder using an endoscope

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

This service was performed 55 times for 38 patients

Injection of biodegradable material next to prostate

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

This service was performed 56 times for 56 patients

Injection, onabotulinumtoxina, 1 unit

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

This service was performed 5,500 times for 37 patients

Insertion of needle or tube into prostate for radiation therapy

This procedure involves placing a fine needle or small tube into a gland located in the lower part of your body. It's done to deliver radiation therapy directly to the area, helping to treat conditions effectively. It's performed by a trained professional.

This service was performed 15 times for 15 patients

Insertion of sacral nerve neurostimulator electrode array

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

This service was performed 72 times for 36 patients

Insertion of stent in ureter using an endoscope

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

This service was performed 13 times for 13 patients

Placement of device in prostate for radiation therapy

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

This service was performed 63 times for 63 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

This service was performed 31 times for 31 patients

Special radiation treatment

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

This service was performed 15 times for 15 patients

Ultrasound scan of pelvic region through rectum

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

This service was performed 252 times for 215 patients

Waterjet destruction of prostrate accessed through the urethra

Waterjet destruction of the prostate is a procedure where a thin tube is inserted through your urinary passage to reach the prostate. A stream of water is then used to remove excess tissue blocking urine flow.

This service was performed 41 times for 41 patients

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
49D2004817
Facility Type
Physician Office
Certificate Effective Date
August 01, 2025
Certificate Expiration Date
July 31, 2027
Laboratory Director
PRATIK S. DESAI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Potomac Urology Surgery Center, Llc 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.

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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 1629659800, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 6 → 12 → 3 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 2 + 5 + 1 + 8 + 8 + 0 + 24 = 70

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.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1629659800.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629659800, enumerated as an "organization" on April 19, 2021.

The provider is located at 251 NATIONAL HARBOR BLVD # 400A OXON HILL, MD 20745 and the phone number is (703) 680-2111.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.