GEMINI ASC ELKRIDGE LLC
NPI 1285149567
Clinic/Center - Ambulatory Surgical in Elkridge, MD

NPI Status: Active since December 07, 2017

Contact Information

6816 DEERPATH RD
ELKRIDGE, MD
ZIP 21075
Phone: (410) 796-1577
Fax: (301) 703-8886

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 21D2149099
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-23-2026

About GEMINI ASC ELKRIDGE LLC

This page provides the complete NPI Profile along with additional information for Gemini Asc Elkridge Llc, a provider established in Elkridge, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1285149567 assigned on December 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Sudhir Rao Md (Md)

NPI
1285149567
Provider Name
GEMINI ASC ELKRIDGE LLC
Entity Type
Organization
Location Address
6816 DEERPATH RD ELKRIDGE, MD 21075
Location Phone
(410) 796-1577
Location Fax
(301) 703-8886
Mailing Address
2702 BACK ACRE CIR STE 290B MOUNT AIRY, MD 21771
Mailing Phone
(410) 796-1577
Mailing Fax
(301) 703-8886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2017
Last Update Date
12-07-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUDHIR RAO MD

Authorized Official Title
MD
Authorized Official Phone
(410) 796-1577

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2149099
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 24, 2024
Certificate Expiration Date
May 23, 2026
Laboratory Director
SUDHIR R. RAO MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gemini Asc Elkridge Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285149567
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221652418512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 4 + 1 + 8 + 5 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1285149567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487169769ELKRIDGE ASC LLC
Organization
Clinic/Center (Ambulatory Surgical)6816 DEERPATH RD
ELKRIDGE, MD 21075
(410) 796-1577
1134755960GEMINI HEALTH HOLDINGS LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)6816 DEERPATH RD SUITE 201 AND 107
ELKRIDGE, MD 21075
(301) 703-8767
1487280152GEMINI HEALTH HOLDINGS LLC
Organization
Psychologist (Addiction (Substance Use Disorder))6816 DEERPATH RD SUITE 201 AND 107
ELKRIDGE, MD 21075
(301) 703-8767
1649800020GEMINI HEALTH HOLDINGS LLC
Organization
Clinic/Center (Adult Mental Health)6816 DEERPATH RD
ELKRIDGE, MD 21075
(301) 703-8767
1588182240PEDIATRIC GASTROENTEROLOGY SPECIALISTS OF MARYLAND LLC
Organization
Pediatrics (Pediatric Gastroenterology)6816 DEERPATH RD
ELKRIDGE, MD 21075
(301) 703-8767
1174360929CAPITAL CARE ANESTHESIA LLC
Organization
Anesthesiology6816 DEERPATH RD
ELKRIDGE, MD 21075
(443) 274-2900
1821824350ANESTHESIA COMPANY, LLC
Organization
Anesthesiology6816 DEERPATH RD
ELKRIDGE, MD 21075
(443) 399-4007
1407669971PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Organization
Anesthesiology (Pain Medicine)6816 DEERPATH RD
ELKRIDGE, MD 21075
(301) 760-3310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285149567, enumerated in the NPI registry as an "organization" on December 07, 2017

The provider is located at 6816 Deerpath Rd Elkridge, Md 21075 and the phone number is (410) 796-1577

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 21D2149099 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 07, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.