NPIMap

Organization Active NPI

Shady Grove Surgery Center LLC

  • Obstetrics & Gynecology Physician
  • Gaithersburg, MD
National Provider Identifier
1194222620
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SHADY GROVE SURGERY CENTER LLC
Practice address
10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601
Phone
(240) 912-4546
Fax
(240) 912-4471
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shabnam DadgarNPI 1265671465
Title
MD
Phone
(240) 912-4546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601

Mailing address

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601
Phone (240) 912-4546

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1194222620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "240-912-4546",
            "fax_number": "240-912-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "240-912-4546",
            "fax_number": "240-912-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADY GROVE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "DADGAR",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "240-912-4546",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.