WESTERN MARYLAND OUTPATIENT DIAGNOSTIC CENTER - JOHNSON HEIGHTS
NPI 1013051119
Physiological Laboratory in Cumberland, MD
About Western Maryland Outpatient Diagnostic Center - Johnson Heights NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN MARYLAND OUTPATIENT DIAGNOSTIC CENTER - JOHNSON HEIGHTS (NPI 1013051119) is a healthcare organization registered as a physiological laboratory in Cumberland, Maryland and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Amber R Ruble, Sr. Vp Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Western Maryland Outpatient Diagnostic Center - Johnson Heights is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2107311
Upmc Western Maryland Endocrinology · Cumberland, MDCertificate of Waiver 21D2225038
Upmc Western Maryland Gupta Primary Care · Cumberland, MDAreas of Expertise CMS Part B claims 24
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Upmc Western Maryland Corporation's NPI number?
The NPI number for Upmc Western Maryland Corporation is 1013051119. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Western Maryland Outpatient Diagnostic Center - Johnson Heights and UPMC Western Maryland.
Where is Upmc Western Maryland Corporation located?
Upmc Western Maryland Corporation is located at 625 Kent Ave, Cumberland, MD 21502. The listed phone number is (240) 964-4205.
What is Upmc Western Maryland Corporation's specialty?
The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.
Is Upmc Western Maryland Corporation enrolled in Medicare?
Yes. Upmc Western Maryland Corporation is registered in the Medicare PECOS enrollment system.
When is Upmc Western Maryland Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Upmc Western Maryland Corporation hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Upmc Western Maryland Corporation was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.