THOMAS JOHNSON SURGERY CENTER, LLC
NPI 1679757959
Clinic/Center - Ambulatory Surgical in Frederick, MD

Active since December 23, 2007CLIA 21D1080993 · Waiver
197 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 631-3881(301) 631-3883 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Johnson Surgery Center, Llc NPPES

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

THOMAS JOHNSON SURGERY CENTER, LLC (NPI 1679757959) is a healthcare organization registered as an ambulatory surgical in Frederick, Maryland and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Ravi Yalamanchili, President, as its authorized official.

NPPES Registry Identity

NPI1679757959
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHOMAS JOHNSON SURGERY CENTER, LLC
Location Address197 THOMAS JOHNSON DRFrederick, MD 21702-4314
Mailing Address197 Thomas Johnson DrFrederick, MD 21702-4314 · (301) 631-3881 · Fax (301) 631-3883
Fax(301) 631-3883
Organization SubpartNo
Authorized OfficialRavi YalamanchiliPresident · (301) 846-0100
Enumeration DateDecember 23, 2007
Last NPPES UpdateMarch 3, 2009
NPI 1679757959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MD · A1465
197 THOMAS JOHNSON DR, Frederick, MD 21702

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 21D1080993

Thomas Johnson Surgery Center LLC · Frederick, MD
Active · expires Mar 6, 2028
CLIA Number21D1080993
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorSteven Brand
Laboratory Phone(781) 812-3741
Laboratory LocationThomas Johnson Surgery Center LLC197 Thomas Johnson Drive, Frederick, MD 21702
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 24

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.
5,501 services29 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
187 services154 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.
93 services93 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
74 services66 patients
Needle biopsy of prostate gland using image guidance 55706
A needle biopsy of the prostate gland using image guidance is a procedure where a small sample of tissue is collected for testing. This is done with the help of images to ensure precision. It helps doctors diagnose and treat potential health issues.
70 services70 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
61 services45 patients

Other Providers at the Same Location NPPES 9

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

Physical Therapist
197 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physical Therapist
197 THOMAS JOHNSON DR
FREDERICK, MD 21702
Anesthesiology (Pain Medicine)
197 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physical Therapist
197 THOMAS JOHNSON DR, STE B
FREDERICK, MD 21702
Anesthesiology
197 THOMAS JOHNSON DR
FREDERICK, MD 21702
Clinic/Center (Ambulatory Surgical)
197 THOMAS JOHNSON DR
FREDERICK, MD 21702
Physical Therapist
197 THOMAS JOHNSON DR
FREDERICK, MD 21702
Anesthesiology
197 THOMAS JOHNSON DR
FREDERICK, MD 21702

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 Thomas Johnson Surgery Center, LLC's NPI number?

The NPI number for Thomas Johnson Surgery Center, LLC is 1679757959. It was assigned to this organization in the NPPES registry on December 23, 2007.

Where is Thomas Johnson Surgery Center, LLC located?

Thomas Johnson Surgery Center, LLC is located at 197 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (301) 631-3881.

What is Thomas Johnson Surgery Center, LLC's specialty?

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

Does Thomas Johnson Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1080993) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thomas Johnson Surgery Center, LLC was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.