Glen Burnie Endoscopy Center, LLC
NPI 1871424085ActiveOrganization· Surgery· Glen Burnie, MD
Surgery in Glen Burnie, Maryland, registered in NPPES in May 2026. The authorized official on file is Justin Deibel, DEIBEL, Executive Vice President/Cfo.
Overview
| NPI | 1871424085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2026 |
| Last updated in NPPES | May 27, 2026 |
| Certified by provider | May 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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