Active NPI
Capitol Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Bethesda, MD
National Provider Identifier
1245529189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CAPITOL SURGICAL CENTER LLC
- Practice address
- 6410 Rockledge Dr
Suite 110
Bethesda, MD 20817-1809 - Phone
- (301) 530-7303
- NPI assigned
- Mar 31, 2011
- Last updated
- Oct 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan Bailey
- Title
- Officer/Ao
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6410 Rockledge Dr
Suite 110
Bethesda, MD 20817-1809
Mailing address
14201 Dallas Pkwy Ste 600
Dallas, TX 75254-2916
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000046 | DC | Part B Supplier - Ambulatory Surgical Center | 5294912895 | Practice locations: Bethesda, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Capitol Surgical Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
14201 Dallas Pkwy
Ste 600
Dallas, TX 75254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1245529189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14201 DALLAS PKWY STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "SUITE 110",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-530-7303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITOL SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-31",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER/AO",
"authorized_official_telephone_number": "203-609-1168",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.