SUMMIT AMBULATORY SURGICAL CENTER LLC
NPI 1114196151
Clinic/Center - Ambulatory Surgical in Westminster, MD

Q: What is Summit Ambulatory Surgical Center LLC's specialty?

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

Active since February 25, 2008CLIA 21D1102705 · Waiver

410 MALCOLM DR, SUITE A, WESTMINSTER, MD 21157(410) 876-1633 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Feb 9, 2023, Aug 17, 2022 (3 updates tracked since 2022).

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About Summit Ambulatory Surgical Center Llc NPPES

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

SUMMIT AMBULATORY SURGICAL CENTER LLC (NPI 1114196151) is a healthcare organization registered as an ambulatory surgical in Westminster, Maryland and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114196151

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER LLC

Location Address410 MALCOLM DR, SUITE AWestminster, MD 21157-6160

Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (469) 872-4706

Phone(410) 876-1633

Organization SubpartNo

Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168

Enumeration DateFebruary 25, 2008

Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1114196151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

410 MALCOLM DR, Westminster, MD 21157

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Other Identifiers 1

Medicaid800906612MD

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 21D1102705

Summit Ambulatory Surgical Center LLC · Westminster, MD

Active · expires Jul 22, 2027

CLIA Number21D1102705

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 23, 2025

Certificate Expiration DateJuly 22, 2027

Laboratory DirectorBrad D. Lerner MD

Laboratory Phone(410) 876-1633

Laboratory LocationSummit Ambulatory Surgical Center LLC410 Malcolm Dr Suite A, Westminster, MD 21157

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

8,850 services46 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

879 services725 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

151 services141 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

100 services100 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

92 services81 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

86 services86 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

68 services46 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

55 services34 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

42 services33 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

36 services36 patients

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants C9740

Cystourethroscopy with insertion of transprostatic implant is a procedure where tiny implants are placed in the prostate area via a thin tube inserted through the urinary passage. This helps to manage urinary flow issues. Four or more implants may be used.

24 services24 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

22 services14 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

20 services12 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

18 services17 patients

Biopsy of bladder using an endoscope 52204

A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.

16 services15 patients

Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

13 services13 patients

Other Providers at the Same Location NPPES 9

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

BRIAN M. LEVIN M.D.

Urology

410 MALCOLM DR, SUITE A
WESTMINSTER, MD 21157

Carroll County (410) 876-1633

MS. MARY BETH LENNOX MENDOZA PA-C

Physician Assistant (Surgical)

410 MALCOLM DR, SUITE A
WESTMINSTER, MD 21157

Carroll County (410) 876-1633

CARROLL COUNTY EYE SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

410 MALCOLM DR, SUITE B
WESTMINSTER, MD 21157

Carroll County (410) 871-3438

DR. JORDAN ELLIOT ANGELL MD

Urology

410 MALCOLM DR, SUITE A
WESTMINSTER, MD 21157

Carroll County (410) 876-1633

DR. KEITH J OREILLY M.D.

Urology

410 MALCOLM DR, SUITE A
WESTMINSTER, MD 21157

Carroll County (410) 876-1633

GENINE CONSAGRA D.O.

Family Medicine

410 MALCOLM DR, SUITE C
WESTMINSTER, MD 21157

Carroll County (410) 857-2300

JOHNS HOPKINS COMMUNITY PHYSICIANS

Internal Medicine

410 MALCOLM DR
WESTMINSTER, MD 21157

Carroll County (410) 933-0000

DR. REYNALDO P MADRINAN M.D.

Urology

410 MALCOLM DR, SUITE A
WESTMINSTER, MD 21157

Carroll County (410) 876-1633

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 Summit Ambulatory Surgical Center LLC's NPI number?

The NPI number for Summit Ambulatory Surgical Center LLC is 1114196151. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Summit Ambulatory Surgical Center LLC located?

Summit Ambulatory Surgical Center LLC is located at 410 Malcolm Dr Suite A, Westminster, MD 21157. The listed phone number is (410) 876-1633.

What is Summit Ambulatory Surgical Center LLC's specialty?

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

Does Summit Ambulatory Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1102705) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Ambulatory Surgical Center LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

About Summit Ambulatory Surgical Center Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 1

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 21D1102705

Areas of Expertise CMS Part B claims 16

Other Providers at the Same Location NPPES 9

Frequently Asked Questions NPPES & CMS

What is Summit Ambulatory Surgical Center LLC's NPI number?

Where is Summit Ambulatory Surgical Center LLC located?

What is Summit Ambulatory Surgical Center LLC's specialty?

Does Summit Ambulatory Surgical Center LLC hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 21D1102705