DIGESTIVE DISEASE CLINIC, LLC
NPI 1710072749
Specialist in Rockville, MD

Active since October 04, 2006CLIA 21D2160414 · Certificate of Compliance
11400 ROCKVILLE PIKE, SUITE 108, ROCKVILLE, MD 20852(301) 770-3334(301) 770-3336 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Digestive Disease Clinic, Llc NPPES

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

DIGESTIVE DISEASE CLINIC, LLC (NPI 1710072749) is a healthcare organization registered as a specialist in Rockville, Maryland and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2027 and lists Charles Afam Obioha, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710072749
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDIGESTIVE DISEASE CLINIC, LLC
Location Address11400 ROCKVILLE PIKE, SUITE 108Rockville, MD 20852-3004
Mailing Address11400 Rockville Pike, Suite 108Rockville, MD 20852-3004 · (301) 770-3334 · Fax (301) 770-3336
Fax(301) 770-3336
Organization SubpartNo
Authorized OfficialCharles Afam ObiohaMedical Director · (301) 770-3334
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710072749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11400 ROCKVILLE PIKE, Rockville, MD 20852

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)

Digestive Disease Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Digestive Disease Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1235224270
11400 ROCKVILLE PIKE SUITE 108
Rockville, MD 20852
(301) 770-3334
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1285693440
5530 WISCONSIN AVE SUITE 820
Chevy Chase, MD 20815
(301) 654-2521
✔ PECOS✔ Accepts Medicare5.5 mi
Pathology
NPI 1922030477
4801 TESLA DR STE H
Bowie, MD 20715
(301) 464-0603
✔ PECOS✔ Accepts Medicare22 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

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 Compliance 21D2160414

Digestive Disease Clinic LLC · Rockville, MD
Active · expires Sep 30, 2027
CLIA Number21D2160414
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Anandita A. Datta
Laboratory Phone(301) 770-3334
Laboratory LocationDigestive Disease Clinic LLC11400 Rockville Pike Ste 109, Rockville, MD 20852
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Digestive Disease Clinic, LLC's NPI number?

The NPI number for Digestive Disease Clinic, LLC is 1710072749. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Digestive Disease Clinic, LLC located?

Digestive Disease Clinic, LLC is located at 11400 Rockville Pike Suite 108, Rockville, MD 20852. The listed phone number is (301) 770-3334.

What is Digestive Disease Clinic, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Digestive Disease Clinic, LLC enrolled in Medicare?

Yes. Digestive Disease Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Digestive Disease Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Digestive Disease Clinic, LLC, in Gastroenterology, Internal Medicine and Pathology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Digestive Disease Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 21D2160414) is associated with this NPI, valid through September 30, 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 Digestive Disease Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.