PRIVATE SURGICAL SUITE LLC NPI 1073644399

NPI Information

NPI: 1073644399
Provider Name: PRIVATE SURGICAL SUITE, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 21D2002985
Address: 5530 WISCONSIN AVE
SUITE 1455
CHEVY CHASE, MD
ZIP 20815
Phone: (301) 656-8008

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NPI Details

PRIVATE SURGICAL SUITE, LLC is an ambulatory surgical clinic center in Chevy Chase, MD. PRIVATE SURGICAL SUITE, LLC NPI is 1073644399. The provider is registered as an organization entity type.

The provider's business location address is:

5530 WISCONSIN AVE
SUITE 1455
CHEVY CHASE, MD
ZIP 20815-404
Phone: (301) 656-8008
Fax: (301) 656-6701

The provider's authorized official is Thomas G Zorc .
The authorized official title is Member and has the following contact phone number (301) 656-8008.

The CLIA number assigned to this NPI record is 21D2002985 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Repair of separation of wound closure with insertion of packing (HCPCS:12021)
Partial removal of breast (HCPCS:19301)
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm (HCPCS:14001)
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
Repair of groin hernia (5 years or older) (HCPCS:49505)
Removal of growth of sperm cord (HCPCS:55520)
Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
Repair of wound of trunk by transferring skin, 10.0 sq cm or less (HCPCS:14000)

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	A1291	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00084595	OTHER	MARYLAND	RAILROAD MEDICARE
2	A00012	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
3	ZX09PR	OTHER	MARYLAND	MD BC NON PAR PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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