SUMMIT AMBULATORY SURGICAL CENTER LLC NPI 1538390539

NPI Information

  • NPI: 1538390539
  • Provider Name: SUMMIT AMBULATORY SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 21D1102698
  • Address: 201 PLUMTREE RD
    SUITE 200
    BEL AIR, MD
    ZIP 21015
  • Phone: (410) 803-0089

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NPI Details

SUMMIT AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Bel Air, MD. SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI is 1538390539. The provider is registered as an organization entity type.

The provider's business location address is:

201 PLUMTREE RD
SUITE 200
BEL AIR, MD
ZIP 21015-044
Phone: (410) 803-0089
Fax: (410) 803-0251

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 21D1102698 - 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.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Biopsy of prostate gland (HCPCS:55700)
  • Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Crushing of stone of ureter using an endoscope (HCPCS:52353)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Destruction and/or removal of large growth of bladder using an endoscope (HCPCS:52240)

The enumeration date for this NPI number is 8/7/2009 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
1800906617MEDICAIDMARYLAND

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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