Active NPI
Metro DC Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Colmar Manor, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- METRO DC SURGERY CENTER LLC
- Practice address
- 4155 Bladensburg Rd
Colmar Manor, MD 20722-1928 - Phone
- (301) 277-1545
- Fax
- (301) 277-1544
- NPI assigned
- Jan 3, 2024
- 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
- Dr. Faris Hakki, MD
- Title
- Physician Owner/Authorized Official
- Phone
- (202) 744-6314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4155 Bladensburg Rd
Colmar Manor, MD 20722-1928
Mailing address
4155 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone (301) 277-1545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Ambulatory surgical center certification: CCN 21C0001687
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Metro DC Surgery Center LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Dec 26, 2024
- Last certification
- Dec 12, 2024
- Facility address
- 4155 Bladensburg RD
Colmar Manor, MD 20722
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 |
|---|---|---|---|
| 21D2300159 | Metro DC Surgery Center LLC | Certificate of waiver | Mar 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Washington, DC
- NPI 1437168325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1679343404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4155 BLADENSBURG RD",
"city": "COLMAR MANOR",
"state": "MD",
"postal_code": "207221928",
"telephone_number": "301-277-1545",
"fax_number": "301-277-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 BLADENSBURG RD",
"city": "COLMAR MANOR",
"state": "MD",
"postal_code": "207221928",
"telephone_number": "301-277-1545",
"fax_number": "301-277-1544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO DC SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "HAKKI",
"authorized_official_first_name": "FARIS",
"authorized_official_title_or_position": "PHYSICIAN OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "202-744-6314",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colmar Manor, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.