NPIMap

Organization Active NPI

Capital Digestive Care, LLC

  • Gastroenterology Physician
  • Olney, MD
National Provider Identifier
1093553547
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CAPITAL DIGESTIVE CARE, LLC
Practice address
3415 Olandwood CT Ste 101
Olney, MD 20832-1490
Phone
(301) 593-2002
Fax
(301) 593-4781
NPI assigned
Jul 18, 2024
Organization subpart
Yes
Parent organization
CAPITAL DIGESTIVE CARE, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Timothy Short
Title
Ceo
Phone
(757) 803-6483

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2181349Capital Digestive Care, LLC3415 Olandwood CT Suite 101, Olney, MD 20832Certificate of waiverMar 31, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080905000450 DC Part B Supplier - Clinic/Group Practice 3870669419 Receives reassigned benefits from 121 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Takoma Park, MD; Silver Spring, MD; Rockville, MD; Temple Hills, MD; Washington, DC; Bethesda, MD; Bowie, MD; Chevy Chase, MD…

National Provider Directory

National Provider Directory
Tax ID family
Capital Digestive Care LLC13 organizations share this tax ID, including this one
Part of
Capital Digestive Care LLC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

NPPES NPI Registry

Primary practice location

3415 Olandwood CT Ste 101
Olney, MD 20832-1490

Mailing address

10770 Columbia Pike Ste 400
Silver Spring, MD 20901-4462
Phone (240) 485-5200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2025.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1093553547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014462",
            "telephone_number": "240-485-5200",
            "fax_number": "301-576-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 OLANDWOOD CT STE 101",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321490",
            "telephone_number": "301-593-2002",
            "fax_number": "301-593-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DIGESTIVE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL DIGESTIVE CARE, LLC",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-803-6483"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.