BALTIMORE SURGERY CENTER, LLC
NPI 1053073288
Clinic/Center - Ambulatory Surgical in Baltimore, MD

Active since October 05, 2021CLIA 21D2254872 · Waiver
3421 BENSON AVE, BALTIMORE, MD 21227(301) 494-3000(301) 494-3333 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2026, Apr 8, 2024, Oct 5, 2021 (3 updates tracked since 2021).

About Baltimore Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALTIMORE SURGERY CENTER, LLC (NPI 1053073288) is a healthcare organization registered as an ambulatory surgical in Baltimore, Maryland and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Jeffrey Wheeler, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1053073288
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBALTIMORE SURGERY CENTER, LLC
Location Address3421 BENSON AVEBaltimore, MD 21227-1056
Mailing Address1220 Caraway Ct Ste 1050Upper Marlboro, MD 20774-5338 · (301) 494-3000
Fax(301) 494-3333
Organization SubpartNo
Authorized OfficialJeffrey WheelerBusiness Manager · (301) 494-3000
Enumeration DateOctober 5, 2021
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1053073288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3421 BENSON AVE, Baltimore, MD 21227

CLIA Laboratory Certificates CMS CLIA

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 21D2254872

Baltimore Surgery Center, LLC · Baltimore, MD
Active · expires Mar 7, 2028
CLIA Number21D2254872
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorRobert Dyer
Laboratory Phone(410) 417-7777
Laboratory LocationBaltimore Surgery Center, LLC3421 Benson Avenue, Suite G100, Baltimore, MD 21227
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Pain Medicine)
3421 BENSON AVE, SUITE 210
BALTIMORE, MD 21227
Physical Therapist
3421 BENSON AVE
BALTIMORE, MD 21227
Nurse Practitioner (Psychiatric/Mental Health)
3421 BENSON AVE
BALTIMORE, MD 21227
Physician Assistant (Medical)
3421 BENSON AVE, SUITE 210
BALTIMORE, MD 21227
Radiology (Diagnostic Radiology)
3421 BENSON AVE, SUITE 100
BALTIMORE, MD 21227
Surgery
3421 BENSON AVE, STE 210
BALTIMORE, MD 21227
Physical Therapist
3421 BENSON AVE, SUITE 100
BALTIMORE, MD 21227
Physical Therapist
3421 BENSON AVE, SUITE 100
BALTIMORE, MD 21227

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 Baltimore Surgery Center, LLC's NPI number?

The NPI number for Baltimore Surgery Center, LLC is 1053073288. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Baltimore Surgery Center, LLC located?

Baltimore Surgery Center, LLC is located at 3421 Benson Ave, Baltimore, MD 21227. The listed phone number is (301) 494-3000.

What is Baltimore Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Baltimore Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2254872) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baltimore Surgery Center, LLC was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.