NPIMap

Organization Active NPI

Johns Hopkins Surgery Centers Series

  • Ambulatory Surgical Clinic/Center
  • Bethesda, MD
National Provider Identifier
1295385482
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 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
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Lisa Ishii, MD
Title
Senior Vice President of Operations
Phone
(410) 583-7185

Specialties & licenses 1

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

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022003269 DC Part B Supplier - Ambulatory Surgical Center 3476642539 Practice locations: Bethesda, MD

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Johns Hopkins SCSCCN 21C0001351
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1004043Johns Hopkins Surgery Centers Series, Bethesda Sur6420 Rockledge Drive Ste 2100, Bethesda, MD 20817Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Surgery Centers Series7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1295385482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 FALLS RD STE 2500",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934573",
            "telephone_number": "410-583-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ROCKLEDGE DR STE 2100",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177841",
            "telephone_number": "301-896-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS SURGERY CENTERS SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "ISHII",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "410-583-7185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 30, 2020; 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.

Verify at the official NPI Registry.