NPIMap

Organization Active NPI

Professional Services of Holy Cross

  • Multi-Specialty Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1881096261
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PROFESSIONAL SERVICES OF HOLY CROSS
Practice address
201 Russell Ave
Gaithersburg, MD 20877-2800
Phone
(301) 557-2110
Fax
(301) 557-2120
NPI assigned
Sep 17, 2014
Organization subpart
Yes
Parent organization
HOLY CROSS HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Julie Keese
Title
VP & Cfo
Phone
(301) 754-7201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

201 Russell Ave
Gaithersburg, MD 20877-2800

Mailing address

PO Box 531863
Atlanta, GA 30353-1863
Phone (443) 274-2900

Other identifiers 1

IdentifierTypeStateIssuer
4097289MedicaidMD

Other names 1

  • Holy Cross Health Partners at Asbury Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000745 DC Part B Supplier - Clinic/Group Practice 3779516992 Receives reassigned benefits from 283 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wheaton, MD; Silver Spring, MD; Rockville, MD; Largo, MD; Montgomery Village, MD; Beltsville, MD; Bethesda, MD; Gaithersburg, MD…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Professional Services of Holy Cross26 organizations share this tax ID, including this one
Part of
Cardio Holy Cross Hosp

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1881096261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531863",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303531863",
            "telephone_number": "443-274-2900",
            "fax_number": "443-274-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772800",
            "telephone_number": "301-557-2110",
            "fax_number": "301-557-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICES OF HOLY CROSS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY CROSS HEALTH, INC.",
        "enumeration_date": "2014-09-17",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "KEESE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "301-754-7201"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4097289",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Health Partners at Asbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.