NPIMap

Organization Active NPI

Capitol Surgeons, LLC

  • Surgery Physician
  • Silver Spring, MD
National Provider Identifier
1235328691
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0057785 Issued in MD
Legal business name
CAPITOL SURGEONS, LLC
Practice address
8630 Fenton St Ste 122
Silver Spring, MD 20910-3803
Phone
(301) 588-0057
Fax
(301) 588-0014
NPI assigned
Oct 22, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. George Thomas Conrad, M.D.NPI 1235115692
Title
Owner
Phone
(301) 774-3008

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
Surgery Physician 208600000X D0057785 MD Primary

Addresses

Primary practice location

8630 Fenton St Ste 122
Silver Spring, MD 20910-3803

Mailing address

PO Box 1022
Clarksburg, MD 20871-1022
Phone (301) 588-0057

Other practice location 1

18111 Prince Philip Dr
Suite 204
Olney, MD 20832-1513
Phone (301) 774-3008

Other practice location 2

18111 Prince Philip Dr
Suite 204
Olney, MD 20832-1513
Phone (301) 774-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051122000132 DC Part B Supplier - Clinic/Group Practice 4284653023 Receives reassigned benefits from 11 practitioners
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1235328691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208711022",
            "telephone_number": "301-588-0057",
            "fax_number": "301-588-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 122",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103803",
            "telephone_number": "301-588-0057",
            "fax_number": "301-588-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18111 Prince Philip Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321513",
            "country_code": "US",
            "telephone_number": "301-774-3008",
            "fax_number": "301-774-5663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18111 Prince Philip Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321513",
            "country_code": "US",
            "telephone_number": "301-774-3008",
            "fax_number": "301-774-5663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITOL SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-774-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0057785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.