Active NPI
Bethesda Endoscopy Center, LLC
- Ambulatory Surgical Clinic/Center
- North Bethesda, MD
National Provider Identifier
1609568922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BETHESDA ENDOSCOPY CENTER, LLC
- Practice address
- 6100 Executive Blvd Ste 300
North Bethesda, MD 20852-3902 - Phone
- (301) 530-2800
- Fax
- (301) 530-9560
- NPI assigned
- May 24, 2023
- 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
- Sue Atkinson
- Title
- Administrator
- Phone
- (301) 530-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6100 Executive Blvd Ste 300
North Bethesda, MD 20852-3902
Mailing address
6100 Executive Blvd Ste 300
Rockville, MD 20852-3913
Phone (301) 530-2880
Other names 1
- Executive Blvd location
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230707002722 | DC | Part B Supplier - Ambulatory Surgical Center | 0941341283 | Practice locations: Rockville, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Bethesda Endoscopy Center LLC
- 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 |
|---|---|---|---|
| 21D2292828 | Bethesda Endoscopy Center | Certificate of waiver | Oct 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Chevy Chase, MD
- NPI 1922412436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1609568922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 EXECUTIVE BLVD STE 300",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523913",
"telephone_number": "301-530-2880",
"fax_number": "240-621-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 EXECUTIVE BLVD STE 300",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208523902",
"telephone_number": "301-530-2800",
"fax_number": "301-530-9560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA ENDOSCOPY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "ATKINSON",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "301-530-2800"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Executive Blvd location",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.