CHESAPEAKE UROLOGY ASSOCIATES, LLC
NPI 1760207450
Urology in Hanover, MD

Active since November 19, 2024CLIA 21D1046649 · Waiver
7580 BUCKINGHAM BLVD STE 110, HANOVER, MD 21076(410) 760-9400 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 8, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Chesapeake Urology Associates, Llc NPPES

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

CHESAPEAKE UROLOGY ASSOCIATES, LLC (NPI 1760207450) is a healthcare organization registered as an urology in Hanover, Maryland and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Sanford Jay Siegel, President, as its authorized official.

NPPES Registry Identity

NPI1760207450
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCHESAPEAKE UROLOGY ASSOCIATES, LLC
Location Address7580 BUCKINGHAM BLVD STE 110Hanover, MD 21076-3208
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (443) 471-5839
Organization SubpartNo
Authorized OfficialSanford Jay SiegelPresident · (410) 581-1600
Enumeration DateNovember 19, 2024
Last NPPES UpdateMarch 8, 20252 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
✔ NPI 1760207450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
7580 BUCKINGHAM BLVD STE 110, Hanover, MD 21076

Other Identifiers 1

Medicaid276600150MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Urology Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

166

Medicare enrollment records show 166 clinicians reassign Medicare billing to Chesapeake Urology Associates, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Urology110
Nurse Practitioner30
Radiation Oncology9
Hematology/Oncology5
Pathology5
Diagnostic Radiology2
Interventional Radiology2
Obstetrics/Gynecology2
1 other specialty1

Nearest to this location (20)

See all 166
Urology
NPI 1902434251
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1407026487
7580 BUCKINGHAM BLVD SUITE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215918362
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1689256158
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOSSame address
Urology
NPI 1699356808
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1407482441
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972079879
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 581-1600
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1023696663
7580 BUCKINGHAM BLVD STE 110
Hanover, MD 21076
(410) 760-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255113627
8121 MOUNT AVENTINE RD
Severn, MD 21144
(703) 717-1068
✔ PECOS✔ Accepts Medicare2.2 mi
Urology
NPI 1336467414
2164 NOTTOWAY DRIVE
Hanover, MD 21076
(667) 274-3333
✔ PECOS✔ Accepts Medicare2.6 mi
Urology
NPI 1548343064
806 LANDMARK DR SUITE 118
Glen Burnie, MD 21061
(410) 780-9400
✔ PECOS✔ Accepts Medicare2.8 mi
Urology
NPI 1437106820
806 LANDMARK DR SUITE 118
Glen Burnie, MD 21061
(410) 760-9400
✔ PECOS✔ Accepts Medicare2.8 mi
Internal Medicine
NPI 1801356431
305 HOSPITAL DR FL 2
Glen Burnie, MD 21061
(410) 761-9896
✔ PECOS✔ Accepts Medicare3.8 mi
Hematology/Oncology
NPI 1891762019
305 HOSPITAL DR FL 2
Glen Burnie, MD 21061
(410) 761-9896
✔ PECOS✔ Accepts Medicare3.8 mi
Hematology/Oncology
NPI 1770550998
305 HOSPITAL DR
Glen Burnie, MD 21061
(410) 761-9896
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1881202406
305 HOSPITAL DR
Glen Burnie, MD 21061
(410) 761-9896
✔ PECOS✔ Accepts Medicare3.8 mi
Hematology/Oncology
NPI 1548689458
305 HOSPITAL DR
Glen Burnie, MD 21061
(410) 761-9896
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1922716505
4 BULL BRANCH CT
Catonsville, MD 21228
(443) 690-0786
✔ PECOS✔ Accepts Medicare6.7 mi
Urology
NPI 1356304398
3407 WILKENS AVE SUITE 210
Baltimore, MD 21229
(410) 644-0929
✔ PECOS✔ Accepts Medicare8.2 mi
Radiation Oncology
NPI 1841291978
900 CATON AVE
Baltimore, MD 21229
(410) 368-2965
✔ PECOS✔ Accepts Medicare8.4 mi
See all 166 clinicians

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 Waiver 21D1046649

Chesapeake Urology Associates LLC · Hanover, MD
Active · expires May 31, 2027
CLIA Number21D1046649
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorRian Dickstein
Laboratory Phone(410) 760-9401
Laboratory LocationChesapeake Urology Associates LLC7580 Buckingham Boulevard Suite 110, Hanover, MD 21076
CLIA data matches this NPI record on: Address Name
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 Urology Associates, LLC's NPI number?

The NPI number for Chesapeake Urology Associates, LLC is 1760207450. It was assigned to this organization in the NPPES registry on November 19, 2024.

Where is Chesapeake Urology Associates, LLC located?

Chesapeake Urology Associates, LLC is located at 7580 Buckingham Blvd Ste 110, Hanover, MD 21076. The listed phone number is (410) 760-9400.

What is Chesapeake Urology Associates, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Chesapeake Urology Associates, LLC enrolled in Medicare?

Yes. Chesapeake Urology Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chesapeake Urology Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 166 clinicians in 9 Medicare specialties reassign their Medicare billing to Chesapeake Urology Associates, LLC. 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 Urology (110), Nurse Practitioner (30) and Radiation Oncology (9). Of these, 8 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chesapeake Urology Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1046649) is associated with this NPI, valid through May 31, 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 Chesapeake Urology Associates, LLC was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.