Medstar Health Endoscopy Center - Silver Spring, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEDSTAR HEALTH ENDOSCOPY CENTER - SILVER SPRING, LLC

Practice address

12002 Veirs Mill Rd
Silver Spring, MD 20906-4513

Phone

(301) 370-0810

Fax

(301) 774-0505

NPI assigned

Aug 25, 2021

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Gilbert

Title

Managing Member

Phone

(410) 772-6696

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Medstar Health Endoscopy Center Silver Spring LLCCCN 21C0001652

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: daviddoman@montgomerygastro.direct.emds.com

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.

• David B Doman, MD

  • Gastroenterology Physician
  • Wheaton, MD
  • NPI 1700889631
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1518634732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 VEIRS MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064513",
            "telephone_number": "301-370-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 VEIRS MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064513",
            "telephone_number": "301-370-0810",
            "fax_number": "301-774-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HEALTH ENDOSCOPY CENTER - SILVER SPRING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-772-6696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daviddoman@montgomerygastro.direct.emds.com",
            "affiliation": "N",
            "endpointDescription": "direct mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "csv",
            "address_1": "12002 Veirs Mill Rd",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209064513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Lisa Medoh
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• Ambulatory Surgical Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.