NPIMap

Organization Active NPI

Delmarva Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Berlin, MD
National Provider Identifier
1922566066
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DELMARVA ENDOSCOPY CENTER LLC
Practice address
11103 Cathage Rd
Berlin, MD 21811-2114
Phone
(410) 847-7900
Fax
(410) 847-7787
NPI assigned
Mar 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Timothy Feist
Title
Board Member
Phone
(410) 543-7118

Specialties & licenses 1

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

Addresses

Primary practice location

11103 Cathage Rd
Berlin, MD 21811-2114

Mailing address

11103 Cathage Rd
Berlin, MD 21811-2114
Phone (410) 847-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420001571 MD Part B Supplier - Clinic/Group Practice 3072509702 Receives reassigned benefits from 212 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salisbury, MD; Berlin, MD
O20190422000528 MD Part B Supplier - Ambulatory Surgical Center 9133461262 Receives reassigned benefits from 1 practitioner
Practice locations: Berlin, MD

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Delmarva Endoscopy Center LLCCCN 21C0001620
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1922566066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 CATHAGE RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112114",
            "telephone_number": "410-847-7900",
            "fax_number": "410-847-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 CATHAGE RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112114",
            "telephone_number": "410-847-7900",
            "fax_number": "410-847-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "FEIST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "410-543-7118"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.