Active NPI
Upper Chesapeake Surgical Associates, LLC
- Surgery Physician
- Bel Air, MD
National Provider Identifier
1629175997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0062522
- Legal business name
- UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC
- Practice address
- 515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5282 - Phone
- (443) 643-3130
- Fax
- (443) 643-3133
- NPI assigned
- Sep 20, 2006
- 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
- Marcus Thomas Augustus Priolo
- Title
- Cfo
- Phone
- (443) 643-3340
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0062522 | MD | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5282
Mailing address
421 S Union Ave Ste 201
Havre de Grace, MD 21078-3346
Phone (443) 843-6363
Other practice location 1
5301 Pulaski Hwy Ste N
Perryville, MD 21903-2653
Phone (240) 677-4420
Other practice location 2
2012 S Tollgate Rd Ste 100
Bel Air, MD 21015-5901
Phone (410) 569-5155
Other practice location 3
421 S Union Ave Ste 201
Havre DE Grace, MD 21078-3346
Phone (443) 843-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070309000291 | MD | Part B Supplier - Clinic/Group Practice | 8729181805 |
Receives reassigned benefits from 36 practitioners 1 other NPI on this enrollment Practice locations: Aberdeen, MD; Perryville, MD; Havre de Grace, MD; Elkton, MD; Bel Air, MD; Abingdon, MD |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Bel Air, MD
- NPI 1821636002
8729181805
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Surgical Physician Assistant
- Bel Air, MD
- NPI 1003448606
O20070309000291
National Provider Directory
National Provider DirectoryLocations
501 S Union Ave
Ste 201
Havre de Grace, MD 21078
421 S Union Ave
Ste 201
Hvre de Grace, MD 21078
Phone (443) 843-6360
Practitioners & affiliated clinicians
Practitioners 44
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": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1629175997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S UNION AVE STE 201",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783346",
"telephone_number": "443-843-6363",
"fax_number": "443-843-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S TOLLGATE RD STE 200",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210145282",
"telephone_number": "443-643-3130",
"fax_number": "443-643-3133"
}
],
"practiceLocations": [
{
"address_1": "5301 Pulaski Hwy Ste N",
"address_purpose": "LOCATION",
"city": "Perryville",
"state": "MD",
"postal_code": "219032653",
"country_code": "US",
"telephone_number": "240-677-4420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2012 S Tollgate Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210155901",
"country_code": "US",
"telephone_number": "410-569-5155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 S Union Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Havre DE Grace",
"state": "MD",
"postal_code": "210783346",
"country_code": "US",
"telephone_number": "443-843-6363",
"fax_number": "443-843-6653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "PRIOLO",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "THOMAS AUGUSTUS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "443-643-3340"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MD",
"license": "D0062522",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Surgical Associates, LLC
- Upper Chesapeake Womens Care, LLC
- Upper Chesapeake Womens Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.