CHESAPEAKE&WASHINGTON HEART CARE, PC
NPI 1669585113
Internal Medicine - Cardiovascular Disease in Waldorf, MD

Active since August 17, 2006CLIA Certified · 3 labs
12070 OLD LINE CTR, SUITE 303, WALDORF, MD 20602(301) 645-5100(301) 645-3695 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Aug 25, 2023 (2 updates tracked since 2023).

About Chesapeake&washington Heart Care, Pc NPPES

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

CHESAPEAKE&WASHINGTON HEART CARE, PC (NPI 1669585113) is a healthcare organization registered as a cardiovascular disease in Waldorf, Maryland and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists Stuart Jay J Carson, Chief Operation Officer, as its authorized official.

NPPES Registry Identity

NPI1669585113
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCHESAPEAKE&WASHINGTON HEART CARE, PC
Location Address12070 OLD LINE CTR, SUITE 303Waldorf, MD 20602-2513
Mailing Address12070 Old Line Ctr, Ste 303Waldorf, MD 20602-2513 · (301) 645-5100
Fax(301) 645-3695
Organization SubpartNo
Authorized OfficialStuart Jay J CarsonChief Operation Officer · (240) 994-5949
Enumeration DateAugust 17, 2006
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1669585113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12070 OLD LINE CTR, Waldorf, MD 20602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chesapeake&washington Heart Care, Pc 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 Chesapeake & washington Heart Care, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Cardiovascular Disease (Cardiology)6
Nurse Practitioner4
Interventional Cardiology1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1184041170
12070 OLD LINE CTR STE 303
Waldorf, MD 20602
(301) 645-5100
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1033504279
12070 OLD LINE CTR STE 303
Waldorf, MD 20602
(301) 645-5100
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1326039579
12070 OLD LINE CTR STE 303
Waldorf, MD 20602
(301) 645-5100
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1760587596
12070 OLD LINE CTR STE 303
Waldorf, MD 20602
(301) 645-5100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750852554
3460 OLD WASHINGTON RD STE 203A
Waldorf, MD 20602
(301) 638-9670
✔ PECOS✔ Accepts Medicare1.3 mi
Cardiovascular Disease (Cardiology)
NPI 1437412566
5350 SHAWNEE RD STE 350
Alexandria, VA 22312
(703) 842-5455
✔ PECOS20 mi
Nurse Practitioner
NPI 1194494534
1221 MERCANTILE LN
Largo, MD 20774
(301) 618-5500
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1376104976
41680 MISS BESSIE DR STE 202
Leonardtown, MD 20650
(301) 475-3240
✔ PECOS✔ Accepts Medicare26 mi
Cardiovascular Disease (Cardiology)
NPI 1003897869
2006 CAMPUS HEALTH DR STE. 300
Harrisonburg, VA 22801
(540) 689-7400
✔ PECOS✔ Accepts Medicare107 mi
Cardiovascular Disease (Cardiology)
NPI 1174589659
226 MEDICAL PLAZA LN SUITE C
Whitesburg, KY 41858
(606) 633-2273
✔ PECOS✔ Accepts Medicare341 mi
Cardiovascular Disease (Cardiology)
NPI 1932155983
901 22ND AVE S
St Petersburg, FL 33705
(727) 310-0925
✔ PECOS✔ Accepts Medicare819 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 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 21D2173826

Chesapeake & Washington Heart Care · Prince Frederick, MD
Active · expires Oct 20, 2027
CLIA Number21D2173826
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorDr. Terence R. Bertele
Laboratory Phone(301) 645-5100
Laboratory LocationChesapeake & Washington Heart Care110 Hospital Road #215, Prince Frederick, MD 20678
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0929760

Chesapeake & Washington Heartcare · Waldorf, MD
Active · expires Aug 10, 2028
CLIA Number21D0929760
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateAugust 10, 2028
Laboratory DirectorTerence E. Bertele MD
Laboratory Phone(301) 645-5100
Laboratory LocationChesapeake & Washington Heartcare12070 Old Line Centre Ste 303, Waldorf, MD 20602
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0924235

Chesapeake And Washington Heart Care · Leonardtown, MD
Active · expires Aug 26, 2027
CLIA Number21D0924235
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorTerence R. Bertele
Laboratory Phone(301) 645-5100
Laboratory LocationChesapeake And Washington Heart Care41680 Miss Bessie Drive Ste 202, Leonardtown, MD 20650
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chesapeake&washington Heart Care, PC's NPI number?

The NPI number for Chesapeake&washington Heart Care, PC is 1669585113. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Chesapeake&washington Heart Care, PC located?

Chesapeake&washington Heart Care, PC is located at 12070 Old Line Ctr Suite 303, Waldorf, MD 20602. The listed phone number is (301) 645-5100.

What is Chesapeake&washington Heart Care, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Chesapeake&washington Heart Care, PC enrolled in Medicare?

Yes. Chesapeake&washington Heart Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chesapeake&washington Heart Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Chesapeake&washington Heart Care, PC. 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. The largest specialties are Cardiovascular Disease (Cardiology) (6), Nurse Practitioner (4) and Interventional Cardiology (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chesapeake&washington Heart Care, PC 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 Chesapeake&washington Heart Care, PC was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.