Organization Active NPI

Bethesda Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • North Bethesda, MD
National Provider Identifier
1609568922
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Nov 4, 2025

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 21C0001676
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
21D2292828Bethesda Endoscopy Center6100 Executive Blvd Suite 300, Rockville, MD 20852Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.