Organization Active NPI

Capital Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1770513855
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1391 Issued in MD
Legal business name
CAPITAL ENDOSCOPY LLC
Practice address
6475 New Hampshire Ave
Suite 150
Hyattsville, MD 20783-3269
Phone
(301) 270-0022
Fax
(301) 270-2666
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Chris Kirby
Title
Billing Administrator
Phone
(301) 651-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1391 MD Primary

Addresses

Primary practice location

6475 New Hampshire Ave
Suite 150
Hyattsville, MD 20783-3269

Mailing address

6475 New Hampshire Ave
Suite 150
Hyattsville, MD 20783-3269
Phone (301) 270-0022

Other identifiers 1

IdentifierTypeStateIssuer
405331100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040709000553 DC Part B Supplier - Ambulatory Surgical Center 7113905811 Practice locations: Hyattsville, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Capital Endoscopy LLCCCN 21C0001391
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1023628Capital Endoscopy & Surgery Center LLC6475 New Hampshire Ave Ste 150, Hyattsville, MD 20783Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Locations

6475 New Hampshire Ave
Ste C150
Hyattsville, MD 20783
Phone (202) 832-2880

Practitioners & affiliated clinicians

Practitioners 1

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1770513855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 150",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "301-270-0022",
            "fax_number": "301-270-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 150",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "301-270-0022",
            "fax_number": "301-270-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "301-651-3980"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405331100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.