Civista Clinical Services, LLC
NPI 1366269623 · Ambulatory Surgical Clinic/Center · La Plata, MD
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Civista Clinical Services, LLC is a Ambulatory Surgical Clinic/Center organization in La Plata, MD (NPI 1366269623).
Provider details
- NPI number
- 1366269623
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Civista Clinical Services, LLC
- Organization subpart
- Yes
- Authorized official
- Albert Zanger, Chief Financial Officer(301) 609-5163
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Civista Clinical Services, LLC's NPI number?
- Civista Clinical Services, LLC's National Provider Identifier (NPI) is 1366269623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Civista Clinical Services, LLC?
- Civista Clinical Services, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Civista Clinical Services, LLC located?
- Civista Clinical Services, LLC's practice location on file with NPPES is 101 Centennial St Ste E, La Plata, MD 20646-5976.
- What is Civista Clinical Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Civista Clinical Services, LLC is (301) 392-0525.
- Does Civista Clinical Services, LLC accept Medicare?
- Civista Clinical Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Civista Clinical Services, LLC?
- The authorized official listed on Civista Clinical Services, LLC's NPPES record is Albert Zanger, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Civista Clinical Services, LLC's NPI active?
- Yes — Civista Clinical Services, LLC's NPI (1366269623) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.