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

Active since April 19, 2021CLIA Certified · 6 labs
251 NATIONAL HARBOR BLVD # 400A, OXON HILL, MD 20745(703) 680-2111(703) 878-3939 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Potomac Urology Surgery Center, Llc NPPES

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

POTOMAC UROLOGY SURGERY CENTER, LLC (NPI 1629659800) is a healthcare organization registered as an ambulatory surgical in Oxon Hill, Maryland and active in the NPI registry since April 2021. The organization holds 6 active CLIA laboratory certificates and lists Pratik S Desai, President, as its authorized official.

NPPES Registry Identity

NPI1629659800
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePOTOMAC UROLOGY SURGERY CENTER, LLC
Location Address251 NATIONAL HARBOR BLVD # 400AOxon Hill, MD 20745-1052
Mailing Address2296 Opitz Blvd Ste 350Woodbridge, VA 22191-3346 · (703) 680-2111 · Fax (703) 680-2111
Phone(703) 680-2111
Fax(703) 878-3939
Organization SubpartNo
Authorized OfficialPratik S DesaiPresident · (703) 680-2111
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1629659800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
251 NATIONAL HARBOR BLVD # 400A, Oxon Hill, MD 20745
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Potomac Urology Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Potomac Urology Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Jeffrey Wong, M.D.
Urology
NPI 1730167818
1707 OSAGE ST SUITE 301
Alexandria, VA 22302
(703) 836-8010
✔ PECOS✔ Accepts Medicare5.0 mi
Alexander Kandabarow, M.D.
Urology
NPI 1649630211
3475 N BEAUREGARD ST STE 201
Alexandria, VA 22302
(703) 506-8590
✔ PECOS✔ Accepts Medicare6.4 mi
Alok Desai, M.D.
Urology
NPI 1811168966
2296 OPITZ BLVD SUITE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
Nilay Gandhi, MD
Urology
NPI 1861657488
2296 OPITZ BLVD SUITE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
John Klein, MD
Urology
NPI 1184899650
2296 OPITZ BLVD SUITE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
Pratik Desai, M.D.
Urology
NPI 1205822640
2296 OPITZ BLVD SUITE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
Shawn Marhamati, M.D:
Urology
NPI 1114312808
2296 OPITZ BLVD STE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
Shawn Mendonca, MD
Urology
NPI 1619219052
2296 OPITZ BLVD STE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
Inderjit Singh, MD
Urology
NPI 1396897617
2296 OPITZ BLVD SUITE 350
Woodbridge, VA 22191
(703) 680-2111
✔ PECOS✔ Accepts Medicare18 mi
Kenneth Lim, MD
Urology
NPI 1164982641
3700 JOSEPH SIEWICK DR STE 300
Fairfax, VA 22033
(703) 680-2111
✔ PECOS✔ Accepts Medicare21 mi
Aseem Malhotra, M.D.
Urology
NPI 1942654041
8525 ROLLING RD STE 220
Manassas, VA 20110
(703) 680-2111
✔ PECOS✔ Accepts Medicare26 mi

Source: 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 6

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 49D2004817

Potomac Urology Center, PC · Woodbridge, VA
Active · expires Jul 31, 2027
CLIA Number49D2004817
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorPratik S. Desai
Laboratory Phone(703) 680-2111
Laboratory LocationPotomac Urology Center, PC2296 Opitz Boulevard - Suite 350 Attn M J Portell, Woodbridge, VA 22191
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2277911

Potomac Urology Surgery Center · Oxon Hill, MD
Active · expires Mar 7, 2027
CLIA Number21D2277911
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Pratik S. Desai
Laboratory Phone(703) 680-2111
Laboratory LocationPotomac Urology Surgery Center251 National Harbor Blvd #400-B, Oxon Hill, MD 20745
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2299867

Potomac Urology Center, PC · Alexandria, VA
Active · expires Feb 28, 2028
CLIA Number49D2299867
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorPratik S. Desai
Laboratory Phone(703) 680-2111
Laboratory LocationPotomac Urology Center, PC1800 N Beauregard St, Suite 300, Alexandria, VA 22311
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2220770

Potomac Urology Center · Oxon Hill, MD
Active · expires Oct 15, 2027
CLIA Number21D2220770
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. Pratik S. Desai
Laboratory Phone(703) 680-2111
Laboratory LocationPotomac Urology Center251 National Harbor Blvd #400-A, Oxon Hill, MD 20745
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 49D2018622

Potomac Urology Center, PC · Fairfax, VA
Active · expires Aug 30, 2027
CLIA Number49D2018622
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorAnshu Trivedi
Laboratory Phone(703) 680-2111
Laboratory LocationPotomac Urology Center, PC3700 Joseph Siewick Dr, Ste 300, Fairfax, VA 22033
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 49D0978672

Potomac Urology Center, PC · Manassas, VA
Active · expires Dec 8, 2026
CLIA Number49D0978672
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorPratik S. Desai
Laboratory Phone(703) 680-2111
Laboratory LocationPotomac Urology Center, PC8525 Rolling Rd Ste 220, Manassas, VA 20110
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 22

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.

Injection, onabotulinumtoxina, 1 unit J0585
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.
5,500 services37 patients
Brachytherapy source, non-stranded, iodine-125, per source C2639
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.
1,325 services15 patients
Ultrasound scan of pelvic region through rectum 76872
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.
252 services215 patients
Biopsy of prostate gland 55700
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.
133 services133 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
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.
118 services115 patients
Insertion of sacral nerve neurostimulator electrode array 64561
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.
72 services36 patients

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 Potomac Urology Surgery Center, LLC's NPI number?

The NPI number for Potomac Urology Surgery Center, LLC is 1629659800. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Potomac Urology Surgery Center, LLC located?

Potomac Urology Surgery Center, LLC is located at 251 National Harbor Blvd # 400A, Oxon Hill, MD 20745. The listed phone number is (703) 680-2111.

What is Potomac Urology Surgery Center, LLC's specialty?

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

Is Potomac Urology Surgery Center, LLC enrolled in Medicare?

Yes. Potomac Urology Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Potomac Urology Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Urology, reassign their Medicare billing to Potomac Urology Surgery Center, 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Potomac Urology Surgery Center, LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Potomac Urology Surgery Center, LLC was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.