SUMMIT AMBULATORY SURGICAL CENTER LLC NPI 1518154517

NPI Information

  • NPI: 1518154517
  • Provider Name: SUMMIT AMBULATORY SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 21D1102728
  • Address: 3333 N CALVERT ST
    SUITE 600
    BALTIMORE, MD
    ZIP 21218
  • Phone: (410) 467-7665

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NPI Details

SUMMIT AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Baltimore, MD. SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI is 1518154517. The provider is registered as an organization entity type.

The provider's business location address is:

3333 N CALVERT ST
SUITE 600
BALTIMORE, MD
ZIP 21218-867
Phone: (410) 467-7665
Fax: (410) 467-7746

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 21D1102728 - 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)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)

The enumeration date for this NPI number is 10/3/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1800906609MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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