FALLSGROVE ENDOSCOPY CENTER, LLC
NPI 1972141455
Clinic/Center - Ambulatory Surgical in Rockville, MD

Active since December 16, 2019CLIA 21D2179921 · Waiver
15001 SHADY GROVE RD STE 400 4TH FLOOR, ROCKVILLE, MD 20850(215) 589-9024(833) 705-6301 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2025, Apr 20, 2020, Dec 16, 2019 (3 updates tracked since 2019).

About Fallsgrove Endoscopy Center, Llc NPPES

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

FALLSGROVE ENDOSCOPY CENTER, LLC (NPI 1972141455) is a healthcare organization registered as an ambulatory surgical in Rockville, Maryland and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Maybell Campbell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972141455
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFALLSGROVE ENDOSCOPY CENTER, LLC
Location Address15001 SHADY GROVE RD STE 400 4TH FLOORRockville, MD 20850-6352
Mailing Address15001 Shady Grove Rd Ste 4004thRockville, MD 20850-6352 · (301) 800-7001 · Fax (301) 800-7011
Fax(833) 705-6301
Organization SubpartNo
Authorized OfficialMaybell CampbellAdministrator · (301) 800-7001
Enumeration DateDecember 16, 2019
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1972141455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
15001 SHADY GROVE RD STE 400 4TH FLOOR, Rockville, MD 20850

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 21D2179921

Fallsgrove Endoscopy Center LLC · Rockville, MD
Active · expires Mar 3, 2028
CLIA Number21D2179921
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorOlanma Okoji
Laboratory Phone(301) 800-7001
Laboratory LocationFallsgrove Endoscopy Center LLC15001 Shady Grove #400, Rockville, MD 20850
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
722 services710 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
712 services693 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
547 services539 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
156 services156 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
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.
71 services71 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This 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.
48 services48 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972141455, enumerated as an "organization" on December 16, 2019.

The provider is located at 15001 SHADY GROVE RD STE 400 4TH FLOOR ROCKVILLE, MD 20850 and the phone number is (215) 589-9024.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.