SUMMIT AMBULATORY SURGICAL CENTER LLC NPI 1912434697

NPI Details

SUMMIT AMBULATORY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Columbia, MD. SUMMIT AMBULATORY SURGICAL CENTER, LLC NPI is 1912434697. The provider is registered as an organization entity type.

The provider's business location address is:

10710 CHARTER DR
SUITE 140
COLUMBIA, MD
ZIP 21044-128
Phone: (410) 772-7000

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 21D1008510 - 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)
• Brachytherapy source, non-stranded, iodine-125, per source (HCPCS:C2639)
• 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)
• Injection, mitomycin, 5 mg (HCPCS:J9280)
• Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
• Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
• Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
• Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
• Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
• 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)
• Insertion of stent in ureter using an endoscope (HCPCS:52332)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
• Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
• Shock wave crushing of kidney stones (HCPCS:50590)
• Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS:52351)
• Insertion of needle or tube into prostate for radiation therapy (HCPCS:55875)
• 3d radiation therapy planning (HCPCS:77295)
• Design and construction of simple radiation treatment device (HCPCS:77332)
• Special radiation treatment (HCPCS:77470)
• Complex application of radiation source (HCPCS:77778)
• Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
• Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
• Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
• Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
• Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
• Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm (HCPCS:52318)
• Instillation of anti-cancer drug into bladder (HCPCS:51720)
• Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)

The enumeration date for this NPI number is 5/12/2017 and was last updated on 1/9/2025.

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: