NPIMap

Organization Active NPI

Medstar Surgery Center at Lafayette Centre, LLC

  • Ambulatory Surgical Clinic/Center
  • Washington, DC
National Provider Identifier
1912090432
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
HFD06 0105 Issued in DC
Legal business name
MEDSTAR SURGERY CENTER AT LAFAYETTE CENTRE, LLC
Practice address
1133 21St St NW
Suite 1000
Washington, DC 20036-3390
Phone
(202) 223-9040
Fax
(202) 223-9047
NPI assigned
Oct 2, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Susan P. Lawlor
Title
Administrator
Phone
(202) 416-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X HFD06 0105 DC Primary

Addresses

Primary practice location

1133 21St St NW
Suite 1000
Washington, DC 20036-3390

Mailing address

1133 21St St NW
Suite 1000
Washington, DC 20036-3390
Phone (202) 223-9040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170620000117 DC Part B Supplier - Ambulatory Surgical Center 8921376765 Practice locations: Washington, DC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Medstar Surgery Center at Lafayette Centre LLCCCN 09C0001001
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
09D0209041Medstar Surgery Center1133 21St Street NW Suite 1000, Washington, DC 20036Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1133 21st St NW
Ste 1000
Washington, DC 20036
Phone (202) 223-9040

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1912090432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 21ST ST NW",
            "address_2": "SUITE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363390",
            "telephone_number": "202-223-9040",
            "fax_number": "202-223-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 21ST ST NW",
            "address_2": "SUITE 1000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363390",
            "telephone_number": "202-223-9040",
            "fax_number": "202-223-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR SURGERY CENTER AT LAFAYETTE CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-416-2141"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DC",
            "license": "HFD06 0105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.