Active NPI
Newbridge Surgery Center at Frederick
- Ambulatory Surgical Clinic/Center
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NEWBRIDGE SURGERY CENTER AT FREDERICK
- Practice address
- 196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397 - Phone
- (301) 668-9988
- Fax
- (301) 668-9977
- NPI assigned
- Sep 8, 2009
- 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
- Mruthyunjaya Gonchigar, M.D.
- Title
- Owner/Physician
- Phone
- (301) 668-9988
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
196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397
Mailing address
196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397
Phone (301) 668-9988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1285944504
O20230412002140
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1710112669
O20230412002140
-
- Ambulatory Surgical Clinic/Center
- Potomac, MD
- NPI 1972109940
O20230412002140
-
- Pain Medicine (Anesthesiology) Physician
- Fairfax, VA
- NPI 1275985970
O20230412002140
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Newbridge Surgery Center at Frederick
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 21D2021232 | Newbridge Surgery Center at Frederick, LLC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine Physician
- Frederick, MD
- NPI 1043275449
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Gaithersburg, MD
- NPI 1265995351
-
- Interventional Pain Medicine Physician
- Montour Falls, NY
- NPI 1386654051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1508199720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 THOMAS JOHNSON DR",
"address_2": "SUITE 215",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024397",
"telephone_number": "301-668-9988",
"fax_number": "301-576-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 THOMAS JOHNSON DR",
"address_2": "SUITE 215",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024397",
"telephone_number": "301-668-9988",
"fax_number": "301-668-9977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWBRIDGE SURGERY CENTER AT FREDERICK",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-08",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "GONCHIGAR",
"authorized_official_first_name": "MRUTHYUNJAYA",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "301-668-9988",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.