SURGCENTER OF THE POTOMAC, LLC
NPI 1659748184
Clinic/Center - Ambulatory Surgical in Bethesda, MD

Active since September 01, 2015CLIA 21D2104902 · Waiver
6500 ROCK SPRING DR, 100, BETHESDA, MD 20817(240) 483-0282(240) 483-0484 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2025, Jul 26, 2024 (2 updates tracked since 2024).

About Surgcenter Of The Potomac, Llc NPPES

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

SURGCENTER OF THE POTOMAC, LLC (NPI 1659748184) is a healthcare organization registered as an ambulatory surgical in Bethesda, Maryland and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659748184
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGCENTER OF THE POTOMAC, LLC
Location Address6500 ROCK SPRING DR, 100Bethesda, MD 20817-1105
Mailing Address6500 Rock Spring Dr, 100Bethesda, MD 20817-1105 · (240) 483-0282 · Fax (240) 483-0484
Fax(240) 483-0484
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateSeptember 1, 2015
Last NPPES UpdateJanuary 11, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
NPI 1659748184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6500 ROCK SPRING DR, Bethesda, MD 20817

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 21D2104902

Surgcenter Of The Potomac, LLC · Bethesda, MD
Active · expires Nov 15, 2027
CLIA Number21D2104902
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorBrantley P. Vitek Jr
Laboratory Phone(716) 983-1082
Laboratory LocationSurgcenter Of The Potomac, LLC6500 Rock Spring Drive, Suite 100, Bethesda, MD 20817
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
26 services26 patients

Other Providers at the Same Location NPPES

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

Specialist
6500 ROCK SPRING DR, SUITE 100
BETHESDA, MD 20817

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 Surgcenter Of The Potomac, LLC's NPI number?

The NPI number for Surgcenter Of The Potomac, LLC is 1659748184. It was assigned to this organization in the NPPES registry on September 1, 2015.

Where is Surgcenter Of The Potomac, LLC located?

Surgcenter Of The Potomac, LLC is located at 6500 Rock Spring Dr 100, Bethesda, MD 20817. The listed phone number is (240) 483-0282.

What is Surgcenter Of The Potomac, LLC's specialty?

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

Does Surgcenter Of The Potomac, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2104902) is associated with this NPI, valid through November 15, 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 Surgcenter Of The Potomac, LLC was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.