NPIMap

Organization Active NPI

Children's National Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
National Provider Identifier
1215000997
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A13221 Issued in MD
Legal business name
CHILDREN'S NATIONAL AMBULATORY SURGERY CENTER
Practice address
9850 Key West Ave
Rockville, MD 20850-3960
Phone
(301) 838-8764
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Phillicia Nelson
Title
Reimbursement Officer
Phone
(301) 572-6281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A13221 MD Primary

Addresses

Primary practice location

9850 Key West Ave
Rockville, MD 20850-3960

Mailing address

111 Michigan Ave NW
Washington, DC 20010-2978
Phone (202) 476-5000

Other practice location 1

2900 Campus Way N
Lanham, MD 20706-2892
Phone (301) 276-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 21C0001321

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHILDREN'S NATIONAL AMB SURG CTR AT MONTGOMERY CO
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 15, 1999
Last certification
Mar 15, 2018
Ownership / control type
Proprietary
Facility address
9850 Key West Avenue
Rockville, MD 20850

Ambulatory surgical center certification: CCN 21C0001668

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Children's National ASC Prince George's County
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 18, 2023
Last certification
Oct 18, 2023
Facility address
2900 Campus Way N
Lanham, MD 20706

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Phys42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1215000997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102978",
            "telephone_number": "202-476-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 KEY WEST AVE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503960",
            "telephone_number": "301-838-8764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Campus Way N",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062892",
            "country_code": "US",
            "telephone_number": "301-276-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S NATIONAL AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PHILLICIA",
        "authorized_official_title_or_position": "REIMBURSEMENT OFFICER",
        "authorized_official_telephone_number": "301-572-6281"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A13221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.