Organization Active NPI

Howard County Gastrointestinal Diagnostic Ctr, LLC

  • Endoscopy Clinic/Center
  • Columbia, MD
National Provider Identifier
1336159284
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
A1342 Issued in MD
Legal business name
HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC
Practice address
10710 Charter Dr
Suite 120
Columbia, MD 21044-2858
Phone
(410) 772-7345
Fax
(410) 772-8860
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Jonathan Bailey
Title
Officer/Authorized Official
Phone
(203) 609-1168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X A1342 MD Primary

Addresses

Primary practice location

10710 Charter Dr
Suite 120
Columbia, MD 21044-2858

Mailing address

10710 Charter Dr Ste 120
Columbia, MD 21044-3258
Phone (410) 772-7345

Other identifiers 1

IdentifierTypeStateIssuer
8362033 00MedicaidMD

Other names 1

  • Howard County Gastrointestinal Diagnostic Center, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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 MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090720000488 MD Part B Supplier - Ambulatory Surgical Center 3173675295 Practice locations: Columbia, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Howard County Gastrointestinal Diagnostic Ctr LLCCCN 21C0001342
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
21D0978821Howard Co Gastrointestinal Diagnostic Ctr10710 Charter Drive Suite 120, Columbia, MD 21044Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Interoperability endpoints

  • FHIR API: https://45fa7a05-41b0-42e2-8589-b26385cda68f.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 1

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1336159284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443258",
            "telephone_number": "410-772-7345",
            "fax_number": "410-772-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-772-7345",
            "fax_number": "410-772-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-609-1168"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MD",
            "license": "A1342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8362033 00",
            "state": "MD"
        }
    ],
    "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": [
        {
            "organization_name": "Howard County Gastrointestinal Diagnostic Center, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Howard County Gastrointestinal Diagnostic Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.