Active NPI
Capital Digestive Care, LLC
- Gastroenterology Physician
- Ijamsville, MD
National Provider Identifier
1689412124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- CAPITAL DIGESTIVE CARE, LLC
- Practice address
- 3280 Urbana Pike Ste 101
Ijamsville, MD 21754-9411 - Phone
- (301) 810-5252
- Fax
- (301) 801-5255
- NPI assigned
- Jul 18, 2024
- Organization subpart
- Yes
- Parent organization
- CAPITAL DIGESTIVE CARE ,LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Short
- Title
- Ceo
- Phone
- (757) 803-6483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
3280 Urbana Pike Ste 101
Ijamsville, MD 21754-9411
Mailing address
10770 Columbia Pike Ste 400
Silver Spring, MD 20901-4462
Phone (240) 485-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081031000296 | MD | Part B Supplier - Clinic/Group Practice | 3870669419 |
Receives reassigned benefits from 42 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbia, MD; Frederick, MD; Ijamsville, MD; Salisbury, MD |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Gastroenterology Physician
- Silver Spring, MD
- NPI 1164683181
O20081031000296
-
- Gastroenterology Physician
- Silver Spring, MD
- NPI 1790523249
O20081031000296
-
- Ambulatory Surgical Clinic/Center
- Delmar, MD
- NPI 1023162013
O20081031000296
-
- Hematology & Oncology Physician
- Salisbury, MD
- NPI 1508000746
O20081031000296
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 |
|---|---|---|---|
| 21D2118392 | Capital Digestive Care, LLC | Certificate of waiver | Sep 6, 2026 |
National Provider Directory
National Provider Directory- Part of
- Capital Digestive Care LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bowie, MD
- NPI 1275597387
-
- Medical Physician Assistant
- Rockville, MD
- NPI 1538481601
-
- Anatomic Pathology & Clinical Pathology Physician
- Baytown, TX
- NPI 1386805828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1689412124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10770 COLUMBIA PIKE STE 400",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014462",
"telephone_number": "240-485-5200",
"fax_number": "301-576-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 URBANA PIKE STE 101",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217549411",
"telephone_number": "301-810-5252",
"fax_number": "301-801-5255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL DIGESTIVE CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAPITAL DIGESTIVE CARE ,LLC",
"enumeration_date": "2024-07-18",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-803-6483"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ijamsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.