SUMMIT AMBULATORY SURGICAL CENTER LLC NPI 1215548524

NPI Details

SUMMIT AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Annapolis, MD. SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI is 1215548524. The provider is registered as an organization entity type.
The provider Is Doing Business As Annapolis Asc.

The provider's business location address is:

810 BESTGATE RD STE 200
ANNAPOLIS, MD
ZIP 21401-033
Phone: (855) 405-7100

The provider's authorized official is Jonathan Bailey .
The authorized official title is Officer/authorized Official and has the following contact phone number (203) 609-1168.

The CLIA number assigned to this NPI record is 21D2211085 - 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.

• Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
• Biopsy of prostate gland (HCPCS:55700)
• Ultrasound scan of pelvic region through rectum (HCPCS:76872)
• Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
• Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Biopsy of bladder using an endoscope (HCPCS:52204)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)

The enumeration date for this NPI number is 8/11/2020 and was last updated on 1/14/2025.

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: