Capital Digestive Care, LLC
Organization Active NPI Gastroenterology Physician · Laurel, MD
NPI 1750129292 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1750129292
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- CAPITAL DIGESTIVE CARE, LLC
- Practice address
- 7350 Van Dusen Rd Ste 210
Laurel, MD 20707-5268 - Phone
- (301) 498-5500
- Fax
- (301) 498-7346
- NPI assigned
- Jul 18, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- CAPITAL DIGESTIVE CARE, LLC
Authorized official
- Name
- Timothy Short
- Title
- Ceo
- Phone
- (757) 803-6483
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 12
Practitioners 2
-
Jacky Kim Chun, PA-C
-
Joyce Song, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080905000450 | DC | Part B Supplier - Clinic/Group Practice | 3870669419 |
Receives reassigned benefits from 121 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Takoma Park, MD; Silver Spring, MD; Rockville, MD; Temple Hills, MD; Washington, DC; Bethesda, MD; Bowie, MD; Chevy Chase, MD… |
National Provider Directory
- Tax ID family
- Capital Digestive Care LLC
- Part of
- Capital Digestive Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
7350 Van Dusen Rd Ste 210
Laurel, MD 20707-5268
Mailing address
10770 Columbia Pike Ste 400
Silver Spring, MD 20901-4462
Phone (240) 485-5200
NPI Registry JSON
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1750129292",
"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": "7350 VAN DUSEN RD STE 210",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075268",
"telephone_number": "301-498-5500",
"fax_number": "301-498-7346"
}
],
"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 Laurel, MD
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All providers in Laurel, MD · Gastroenterology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.