Surgcenter of Greenbelt, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGCENTER OF GREENBELT, LLC

Practice address

7300 Hanover Dr Ste 102
Greenbelt, MD 20770-2250

Phone

(240) 297-9858

NPI assigned

Jan 17, 2010

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reza Ghorbani, M.D.NPI 1033194584

Title

Ceo

Phone

(240) 297-9858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Surgcenter of Greenbelt LLCCCN 21C0001510

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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.

• Reza Ghorbani, MD

  • Pain Medicine (Anesthesiology) Physician
  • Greenbelt, MD
  • NPI 1033194584
  NPD Authorized official
• Floriano F Mantilla

  • Surgical Assistant
  • Greenbelt, MD
  • NPI 1083485635
  NPD

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1932430816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702250",
            "telephone_number": "240-297-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGCENTER OF GREENBELT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-17",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GHORBANI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-297-9858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suburban Eye Associates LLC
• Sudhakar Punja MD PA
• Nora Eve Sullivan, APRN
• Ryan Summers
• Sun Rise Rehab LLC
• Atul H Suri, M.D.
• Joshua Sussal, MD
• Cynthia Swan, LPC, LCPC
• Sarah Mubeen Syeda, PA-C
• Lillian M Sylvester, LCPC

• Ambulatory Surgical Clinic/Center in Greenbelt, MD
• Providers in Greenbelt, 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 Aug 28, 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.