Active NPI
Capital Children's Healthcare
- Ambulatory Surgical Clinic/Center
- Upper Marlboro, MD
National Provider Identifier
1316484447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CAPITAL CHILDREN'S HEALTHCARE
- Practice address
- 1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338 - Phone
- (301) 494-3000
- NPI assigned
- Jan 26, 2017
- Last updated
- Aug 4, 2026
- Organization subpart
- Yes
- Parent organization
- NEW CORE HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Wheeler
- Title
- Ceo
- Phone
- (301) 494-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Mailing address
1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Phone (301) 494-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170506000066 | DC | Part B Supplier - Ambulatory Surgical Center | 5092092791 | Practice locations: Upper Marlboro, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2136716 | Capital Children's Healthcare | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
1220 Caraway Ct
Ste 1050
Uppr Marlboro, MD 20774
Phone (240) 691-4844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1316484447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 CARAWAY CT STE 1050",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745338",
"telephone_number": "301-494-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 CARAWAY CT STE 1050",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745338",
"telephone_number": "301-494-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL CHILDREN'S HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW CORE HEALTHCARE",
"enumeration_date": "2017-01-26",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "WHEELER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-494-3000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.