Advanced Surgery Center,LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

A1400 Issued in MD

Legal business name

ADVANCED SURGERY CENTER,LLC

Doing business as

Advanced Surgery Center

Practice address

10110 Molecular Drive
Suite 100
Rockville, MD 20850

Phone

(301) 838-0437

Fax

(301) 838-0439

NPI assigned

May 22, 2006

Last updated

Aug 19, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Robert Clay Lacava

Title

Clinical Administrator

Phone

(301) 838-0437

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Advanced Surgery Center LLCCCN 21C0001400

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

Part of

Advanced Surgery Centerllc

Locations

Practitioners 3

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.

• Kanthi Rekha Badipatla, M.D

  • Gastroenterology Physician
  • Silver Spring, MD
  • NPI 1467745869

  DC

  Medicare reassignment NPD
• Babak Sagvand, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1255794608

  DC

  Medicare reassignment NPD
• Rahul Gilotra, MD

  • Gastroenterology Physician
  • Wheaton, MD
  • NPI 1730299298
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1669426706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DRIVE",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-838-0437",
            "fax_number": "301-838-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DRIVE",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-838-0437",
            "fax_number": "301-838-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGERY CENTER,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED SURGERY CENTER, LLC",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "LACAVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "301-838-0437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MD",
            "license": "A1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405873900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endoscopy Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Endoscopy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.