COLLEGE PARK SURGERY CENTER, LLC
NPI 1962711614
Clinic/Center - Ambulatory Surgical in Glenn Dale, MD
NPI Status: Active since September 29, 2010
Contact Information
12200 ANNAPOLIS RD
SUITE 220
GLENN DALE, MD
ZIP 20769
Phone: (301) 699-2292
Fax: (301) 699-2293
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 21D2136938
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-24-2027
About COLLEGE PARK SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for College Park Surgery Center, Llc, a provider established in Glenn Dale, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962711614 assigned on September 2010. The practitioner's primary taxonomy code is 261QA1903X with license number MD18563 (DC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Alpha T. Banks M.d. (Medical Director)
- NPI
- 1962711614
- Provider Name
- COLLEGE PARK SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 12200 ANNAPOLIS RD SUITE 220 GLENN DALE, MD 20769
- Location Phone
- (301) 699-2292
- Location Fax
- (301) 699-2293
- Mailing Address
- 7309 BALTIMORE AVE SUITE 220 COLLEGE PARK, MD 20740
- Mailing Phone
- (301) 699-2292
- Mailing Fax
- (301) 699-2293
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2010
- Last Update Date
- 09-29-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD18563
- License State
- DC
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Diagnostic exam of large bowel using a flexible endoscope
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 16 times for 16 patientsThis procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
This service was performed 32 times for 32 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2136938
- Facility Type
- Physician Office
- Certificate Effective Date
- June 25, 2025
- Certificate Expiration Date
- June 24, 2027
- Laboratory Director
- DR. OUSSAMA MHAMDI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to College Park Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962711614, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
GLENN DALE, MD 20769
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962711614, enumerated as an "organization" on September 29, 2010.
The provider is located at 12200 ANNAPOLIS RD SUITE 220 GLENN DALE, MD 20769 and the phone number is (301) 699-2292.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
