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SCDP ANESTHESIA PROFESSIONALS
NPI 1821555020
Anesthesiology in Raleigh, NC

Active since February 23, 2019CLIA 34D2147298 · Waiver
2620 NEW BERN AVE, RALEIGH, NC 27610(919) 526-1000 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2020, Mar 21, 2019, Mar 15, 2019 and 2 more (5 updates tracked since 2019).

About Scdp Anesthesia Professionals NPPES

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

SCDP ANESTHESIA PROFESSIONALS (NPI 1821555020) is a healthcare organization registered as an anesthesiology in Raleigh, North Carolina and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821555020
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSURGICAL CENTER FOR DENTAL PROFESSIONALS OF NC LLC
Location Address2620 NEW BERN AVERaleigh, NC 27610-1821
Mailing Address2620 New Bern AveRaleigh, NC 27610-1821 · (919) 526-1000
Phone(919) 526-1000
Organization SubpartYes
Authorized OfficialDevin LarsenCeo · (208) 340-1840
Enumeration DateFebruary 23, 2019
Last NPPES UpdateMay 30, 20245 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1821555020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
Also ListedAnesthesiologist AssistantTaxonomy 367H00000X
2620 NEW BERN AVE, Raleigh, NC 27610
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Other Names 1

Doing Business AsScdp Anesthesia Professionals

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)

Scdp Anesthesia Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scdp Anesthesia Professionals, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rachael D'souza
Dentist
NPI 1952709818
3501 TERRACE ST SALK HALL
Pittsburgh, PA 15213
(919) 428-0930
✔ PECOS330 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 Waiver 34D2147298

Surgical Center For Dental Professionals Of Nc · Raleigh, NC
Active · expires Apr 16, 2028
CLIA Number34D2147298
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorDavid Kornstein
Laboratory Phone(919) 526-1000
Laboratory LocationSurgical Center For Dental Professionals Of Nc2620 New Bern Avenue, Raleigh, NC 27610
CLIA data matches this NPI record on: Address Name 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 Surgical Center For Dental Professionals Of Nc LLC's NPI number?

The NPI number for Surgical Center For Dental Professionals Of Nc LLC is 1821555020. It was assigned to this organization in the NPPES registry on February 23, 2019. The provider is doing business as Scdp Anesthesia Professionals.

Where is Surgical Center For Dental Professionals Of Nc LLC located?

Surgical Center For Dental Professionals Of Nc LLC is located at 2620 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 526-1000.

What is Surgical Center For Dental Professionals Of Nc LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Surgical Center For Dental Professionals Of Nc LLC enrolled in Medicare?

Yes. Surgical Center For Dental Professionals Of Nc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Center For Dental Professionals Of Nc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Surgical Center For Dental Professionals Of Nc 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgical Center For Dental Professionals Of Nc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2147298) is associated with this NPI, valid through April 16, 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 Surgical Center For Dental Professionals Of Nc LLC was last updated on May 30, 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.