Active NPI
Elkridge ASC LLC
- Ambulatory Surgical Clinic/Center
- Elkridge, MD
National Provider Identifier
1487169769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ELKRIDGE ASC LLC
- Practice address
- 6816 Deerpath Rd
Elkridge, MD 21075-6200 - Phone
- (410) 796-1577
- Fax
- (301) 703-8886
- NPI assigned
- Dec 7, 2017
- 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
- Sudhir Rao, MD
- Title
- MD
- Phone
- (410) 796-1577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6816 Deerpath Rd
Elkridge, MD 21075-6200
Mailing address
2702 Back Acre Cir Ste 290B
Mount Airy, MD 21771-7769
Phone (410) 796-1577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Elkridge ASC LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Mount Airy, MD
- NPI 1629103759
-
- Physical Medicine & Rehabilitation Physician
- Mount Airy, MD
- NPI 1821133323
-
- Vascular & Interventional Radiology Physician
- Fort Lauderdale, FL
- NPI 1609187186
MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512604800000",
"number": "1487169769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 BACK ACRE CIR STE 290B",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217717769",
"telephone_number": "410-796-1577",
"fax_number": "301-703-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6816 DEERPATH RD",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756200",
"telephone_number": "410-796-1577",
"fax_number": "301-703-8886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELKRIDGE ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "SUDHIR",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "410-796-1577",
"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 Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.