HARBORSIDE SURGERY CENTER
NPI 1912267592
Clinic/Center - Ambulatory Surgical in National Harbor, MD

Active since May 17, 2012CLIA 21D2047078 · Waiver
125 POTOMAC PASSAGE, SUITE 200, NATIONAL HARBOR, MD 20745(703) 674-9041 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Harborside Surgery Center NPPES

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

HARBORSIDE SURGERY CENTER (NPI 1912267592) is a healthcare organization registered as an ambulatory surgical in National Harbor, Maryland and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Daniela Booton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912267592
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGCENTER AT NATIONAL HARBOR, LLC
Location Address125 POTOMAC PASSAGE, SUITE 200National Harbor, MD 20745-1580
Mailing Address125 Potomac Pass., Suite 200National Harbor, MD 20745-1580 · (703) 674-9041
Organization SubpartNo
Authorized OfficialDaniela BootonAdministrator · (703) 674-9041
Enumeration DateMay 17, 2012
NPI 1912267592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
125 POTOMAC PASSAGE, National Harbor, MD 20745

Other Names 1

Doing Business AsHarborside Surgery Center

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 21D2047078

Surgcenter At National Harbor LLC · Oxon Hill, MD
Active · expires Sep 17, 2026
CLIA Number21D2047078
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Kevin B. Fricka
Laboratory Phone(240) 493-6110
Laboratory LocationSurgcenter At National Harbor LLC251 National Harbor Blvd Suite 200, Oxon Hill, MD 20745
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
3,192 services24 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
241 services220 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
158 services154 patients
Replacement of knee joint on side of knee 27446
A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.
120 services114 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
54 services32 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
50 services50 patients

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 Surgcenter At National Harbor, LLC's NPI number?

The NPI number for Surgcenter At National Harbor, LLC is 1912267592. It was assigned to this organization in the NPPES registry on May 17, 2012. The provider is doing business as Harborside Surgery Center.

Where is Surgcenter At National Harbor, LLC located?

Surgcenter At National Harbor, LLC is located at 125 Potomac Passage Suite 200, National Harbor, MD 20745. The listed phone number is (703) 674-9041.

What is Surgcenter At National Harbor, LLC's specialty?

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

Does Surgcenter At National Harbor, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2047078) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgcenter At National Harbor, LLC was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.