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SURGICAL SPECIALTY CENTER OF MID ATLANTIC, LLC
NPI 1659772648
Clinic/Center - Ambulatory Surgical in Bethesda, MD

Active since September 09, 2014CLIA 21D2088748 · Waiver
6430 ROCKLEDGE DR, SUITE # 110, BETHESDA, MD 20817(240) 630-8241(240) 800-3950 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Jun 21, 2024, Feb 23, 2023 (3 updates tracked since 2023).

About Surgical Specialty Center Of Mid Atlantic, Llc NPPES

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

SURGICAL SPECIALTY CENTER OF MID ATLANTIC, LLC (NPI 1659772648) is a healthcare organization registered as an ambulatory surgical in Bethesda, Maryland and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659772648
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL SPECIALTY CENTER OF MID ATLANTIC, LLC
Location Address6430 ROCKLEDGE DR, SUITE # 110Bethesda, MD 20817-1805
Mailing Address6430 Rockledge Dr, Suite # 110Bethesda, MD 20817-1805 · (240) 630-8241
Phone(240) 630-8241
Fax(240) 800-3950
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateSeptember 9, 2014
Last NPPES UpdateJanuary 16, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1659772648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6430 ROCKLEDGE DR, Bethesda, MD 20817
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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 21D2088748

Surgical Specialty Center Of Mid Atlantic LLC · Bethesda, MD
Active · expires Dec 16, 2026
CLIA Number21D2088748
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorKevin Lutta MD
Laboratory Phone(240) 630-8241
Laboratory LocationSurgical Specialty Center Of Mid Atlantic LLC6430 Rockledge Drive Suite 110, Bethesda, MD 20817
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 9

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 of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
235 services151 patients
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.
86 services84 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
58 services58 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
51 services49 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
40 services38 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
28 services23 patients

Other Providers at the Same Location NPPES 12

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

GARDINER RAFFO SPORTS MED ORTHO PC
Orthopaedic Surgery
6430 ROCKLEDGE DR, 510
BETHESDA, MD 20817
Montgomery County (301) 515-0900
ARLENE WOODS CRNA
Nurse Anesthetist, Certified Registered
6430 ROCKLEDGE DR, 160
BETHESDA, MD 20817
Montgomery County (301) 312-6144
MATTHEW ZIMMERMANN MD
Orthopaedic Surgery
6430 ROCKLEDGE DR, SUITE 510
BETHESDA, MD 20817
Montgomery County (301) 515-0900
ORTHOSURG PHYSICIAN ASSISTANTS OF MARYLAND LLC
Orthopaedic Surgery (Sports Medicine)
6430 ROCKLEDGE DR, SUITE 510
BETHESDA, MD 20817
Montgomery County (202) 607-4356
JULIA F MALALIS M.D.
Ophthalmology
6430 ROCKLEDGE DR, SUITE 270
BETHESDA, MD 20817
Montgomery County (301) 493-9600
DR. RICHARD M CHAVIS M.D.
Ophthalmology
6430 ROCKLEDGE DR, 270
BETHESDA, MD 20817
Montgomery County (301) 493-9600
DR. JAMES MATHEW HELTZER MD
Ophthalmology
6430 ROCKLEDGE DR, 270
BETHESDA, MD 20817
Montgomery County (301) 493-9600
LISA LUSE LICSW, LCSW-C
Social Worker (Clinical)
6430 ROCKLEDGE DR
BETHESDA, MD 20817
Montgomery County (202) 607-2497

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 Surgical Specialty Center Of Mid Atlantic, LLC's NPI number?

The NPI number for Surgical Specialty Center Of Mid Atlantic, LLC is 1659772648. It was assigned to this organization in the NPPES registry on September 9, 2014.

Where is Surgical Specialty Center Of Mid Atlantic, LLC located?

Surgical Specialty Center Of Mid Atlantic, LLC is located at 6430 Rockledge Dr Suite # 110, Bethesda, MD 20817. The listed phone number is (240) 630-8241.

What is Surgical Specialty Center Of Mid Atlantic, LLC's specialty?

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

Does Surgical Specialty Center Of Mid Atlantic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2088748) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgical Specialty Center Of Mid Atlantic, LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.