Congressional Ambulatory Surgery Center, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1430 Issued in MD

Legal business name

CONGRESSIONAL AMBULATORY SURGERY CENTER, L.L.C.

Practice address

14995 Shady Grove Rd Ste 410
Rockville, MD 20850-8726

Phone

(301) 294-8525

Fax

(301) 294-5919

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Steven Behram, M.D.NPI 1184687196

Title

Director

Phone

(301) 294-8525

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001430

Legal name

CONGRESSIONAL AMBULATORY SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 23, 2006

Last certification

Mar 20, 2018

Ownership / control type

Proprietary

Facility address

14995 Shady Grove Road, Suite 410
Rockville, MD 20850

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Behram, MD

  • Obstetrics & Gynecology Physician
  • Rockville, MD
  • NPI 1184687196

  DC

  Medicare reassignment NPD Authorized official
• Nancy G Behram, M.D.

  • Obstetrics & Gynecology Physician
  • Rockville, MD
  • NPI 1902895063

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1871711689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 410",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "301-294-8525",
            "fax_number": "301-294-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 410",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508726",
            "telephone_number": "301-294-8525",
            "fax_number": "301-294-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRESSIONAL AMBULATORY SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BEHRAM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-294-8525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1430",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411674700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "palomino@congressionalobgyn.com",
            "affiliation": "N",
            "address_1": "14995 Shady Grove Rd Ste 410",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208508726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Staci Conditt
• Michael Cone, MD
• Heather Brennan Congdon, PHARMD
• Bridget Conger
• Jala Congleton
• Congressional Women's Surgery Center, L.L.C.
• Brandi Conley
• Catherine Italia Conley, LCSW-C
• Tiana Conley
• Charles Joseph Conlon, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.