LUTHERVILLE SURGICENTER, LLC
NPI 1124058946
Clinic/Center - Ambulatory Surgical in Lutherville, MD

Active since July 04, 2006CLIA 21D0956210 · Waiver
1400 FRONT AVE, SUITE 100A, LUTHERVILLE, MD 21093(410) 828-1525(410) 828-5045 Get Directions Write a Review

NPPES record last updated: March 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lutherville Surgicenter, Llc NPPES

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

LUTHERVILLE SURGICENTER, LLC (NPI 1124058946) is a healthcare organization registered as an ambulatory surgical in Lutherville, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists John Russell Moore, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124058946
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLUTHERVILLE SURGICENTER, LLC
Location Address1400 FRONT AVE, SUITE 100ALutherville, MD 21093-5300
Mailing Address1400 Front Ave, Suite 100aLutherville, MD 21093-5300 · (410) 828-1525 · Fax (410) 828-5045
Fax(410) 828-5045
Organization SubpartNo
Authorized OfficialJohn Russell MooreMedical Director · (410) 296-6232
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 16, 2008
NPI 1124058946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MD · A1302
1400 FRONT AVE, Lutherville, MD 21093

Other Identifiers 1

Medicare PIN102Z

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 21D0956210

Lutherville Surgicenter LLC · Lutherville, MD
Active · expires Jan 21, 2027
CLIA Number21D0956210
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorDr. Peter C. Innis
Laboratory Phone(410) 828-1525
Laboratory LocationLutherville Surgicenter LLC1400 Front Avenue Suite 100A, Lutherville, MD 21093
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.

Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
408 services343 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
311 services253 patients
Release and/or relocation of elbow nerve 64718
This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.
88 services77 patients
Removal of bone joints between wrist and fingers 25447
This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.
80 services75 patients
Transfer of tendon to back of hand 26480
A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.
77 services76 patients
Removal of growth of tendon finger or hand 26160
This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.
67 services67 patients

Other Providers at the Same Location NPPES 19

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

Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Orthopaedic Surgery
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093
Psychologist (Clinical)
1400 FRONT AVE, SUITE 204
LUTHERVILLE, MD 21093
General Practice
1400 FRONT AVE
LUTHERVILLE, MD 21093
Psychologist (School)
1400 FRONT AVE, SUITE 204
LUTHERVILLE, MD 21093
Physical Therapist
1400 FRONT AVE, SUITE 205
LUTHERVILLE, MD 21093
Orthopaedic Surgery (Hand Surgery)
1400 FRONT AVE, SUITE 100
LUTHERVILLE, MD 21093

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 Lutherville Surgicenter, LLC's NPI number?

The NPI number for Lutherville Surgicenter, LLC is 1124058946. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Lutherville Surgicenter, LLC located?

Lutherville Surgicenter, LLC is located at 1400 Front Ave Suite 100A, Lutherville, MD 21093. The listed phone number is (410) 828-1525.

What is Lutherville Surgicenter, LLC's specialty?

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

Does Lutherville Surgicenter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0956210) is associated with this NPI, valid through January 21, 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 Lutherville Surgicenter, LLC was last updated on March 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.