Johns Hopkins Surgery Centers Series
Organization Active NPI Ambulatory Surgical Clinic/Center · Bethesda, MD
NPI 1295385482 · NPPES record last updated Apr 30, 2020
Key facts
- NPI
- 1295385482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- JOHNS HOPKINS SURGERY CENTERS SERIES
- Practice address
- 6420 Rockledge Dr Ste 2100
Bethesda, MD 20817-7841 - Phone
- (301) 896-6850
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Lisa Ishii, MD
- Title
- Senior Vice President of Operations
- Phone
- (410) 583-7185
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 6
Member of 2
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Johns Hopkins SCS
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1004043 | Johns Hopkins Surgery Centers Series, Bethesda Sur | Certificate of waiver | Sep 17, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191022003269 | DC | Part B Supplier - Ambulatory Surgical Center | 3476642539 | Practice locations: Bethesda, MD |
National Provider Directory
- Tax ID family
- Johns Hopkins Surgery Centers Series
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
6420 Rockledge Dr Ste 2100
Bethesda, MD 20817-7841
Mailing address
10803 Falls Rd Ste 2500
Lutherville, MD 21093-4573
Phone (410) 583-7185
Other providers in Bethesda, MD
- Johns Hopkins Community Physicians, Inc
- Johns Hopkins Community Physicians, Inc
- Johns Hopkins Community Physicians, Inc
- Johns Hopkins Community Physicians, Inc
- Johns Hopkins Community Physicians, Inc
- Johns Hopkins University
- Johns Hopkins University
- Johns Hopkins University
- Johns Hopkins University
- Johns Hopkins University
All providers in Bethesda, MD · Ambulatory Surgical Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.