MEDICARE: CAPITAL ENDOSCOPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	A1391	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770513855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL ENDOSCOPY LLC

Provider Business Mailing Address
First Line	:	6475 NEW HAMPSHIRE AVE
Second Line	:	SUITE 150
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3269
Country	:	US
Telephone Number	:	301-270-0022
Fax Number	:	301-270-2666

Provider Business Practice Location Address
First Line	:	6475 NEW HAMPSHIRE AVE
Second Line	:	SUITE 150
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3269
Country	:	US
Telephone Number	:	301-270-0022
Fax Number	:	301-270-2666

Authorized Official
Title or Position	:	BILLING ADMINISTRATOR
Name	:	CHRIS KIRBY
Credential	:
Telephone Number	:	301-651-3980

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	04/19/2023

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Directions to “CAPITAL ENDOSCOPY LLC ” Practice Location

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