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MEDSTAR SURGERY CENTER 1, LLC
NPI 1669176020
Clinic/Center - Ambulatory Surgical in Annapolis, MD

Active since March 29, 2023CLIA Certified · 3 labs
810 BESTGATE RD, ANNAPOLIS, MD 21401(443) 546-6302 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medstar Surgery Center 1, Llc NPPES

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

MEDSTAR SURGERY CENTER 1, LLC (NPI 1669176020) is a healthcare organization registered as an ambulatory surgical in Annapolis, Maryland and active in the NPI registry since March 2023. The organization holds 3 active CLIA laboratory certificates and lists Artur Sivaslian, President, Medstar Ambulatory Serv., as its authorized official.

NPPES Registry Identity

NPI1669176020
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDSTAR SURGERY CENTER 1, LLC
Location Address810 BESTGATE RDAnnapolis, MD 21401-3648
Mailing Address10980 Grantchester Way Fl 7Columbia, MD 21044-6097 · (443) 546-6302
Phone(443) 546-6302
Organization SubpartNo
Authorized OfficialArtur SivaslianPresident, Medstar Ambulatory Serv. · (410) 772-6726
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1669176020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
810 BESTGATE RD, Annapolis, MD 21401
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CLIA Laboratory Certificates CMS CLIA 3

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 21D0954785

Medstar Urgent Care LLC · Rockville, MD
Active · expires Mar 31, 2027
CLIA Number21D0954785
Laboratory TypeUrgent Care
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Timothy Carle
Laboratory Phone(410) 772-6726
Laboratory LocationMedstar Urgent Care LLC12220 Rockville Pike, Rockville, MD 20852
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D1051005

Medstar Urgent Care LLC · Columbia, MD
Active · expires Mar 31, 2027
CLIA Number21D1051005
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Robert Klug
Laboratory Phone(410) 772-6726
Laboratory LocationMedstar Urgent Care LLC6334 Cedar Lane, Columbia, MD 21044
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2068975

Medstar Urgent Care LLC · Frederick, MD
Active · expires Mar 31, 2027
CLIA Number21D2068975
Laboratory TypeUrgent Care
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Bronson E. Delasobera
Laboratory Phone(410) 772-6726
Laboratory LocationMedstar Urgent Care LLC201-B Shorebird Street, Frederick, MD 21701
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 4

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.

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.
35 services35 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.
19 services19 patients
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.
18 services18 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
13 services13 patients

Other Providers at the Same Location NPPES 4

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

LINDSAY BONAPARTE
Social Worker
810 BESTGATE RD
ANNAPOLIS, MD 21401
Anne Arundel County (401) 757-2077
DR. ANDREW MICHAEL GRADONE PH.D.
Clinical Neuropsychologist
810 BESTGATE RD
ANNAPOLIS, MD 21401
Anne Arundel County (855) 906-1966
MEDSTAR MEDICAL GROUP II LLC
General Practice
810 BESTGATE RD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-1110
AINSLEE SHROUT
Student in an Organized Health Care Education/Training Program
810 BESTGATE RD
ANNAPOLIS, MD 21401
Anne Arundel County (443) 782-7600

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 Medstar Surgery Center 1, LLC's NPI number?

The NPI number for Medstar Surgery Center 1, LLC is 1669176020. It was assigned to this organization in the NPPES registry on March 29, 2023.

Where is Medstar Surgery Center 1, LLC located?

Medstar Surgery Center 1, LLC is located at 810 Bestgate Rd, Annapolis, MD 21401. The listed phone number is (443) 546-6302.

What is Medstar Surgery Center 1, LLC's specialty?

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

Does Medstar Surgery Center 1, LLC hold CLIA laboratory certificates?

Yes. 3 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 Medstar Surgery Center 1, LLC was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.