SUMMIT AMBULATORY SURGICAL CENTER LLC
NPI 1134613979
Clinic/Center - Ambulatory Surgical in Germantown, 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 June 15, 2018CLIA Certified · 2 labs

19851 OBSERVATION DR STE 445, GERMANTOWN, MD 20876(410) 581-1600 Get Directions Write a Review

NPPES record last updated: January 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2025, Feb 9, 2023, Aug 17, 2022 and 1 more (4 updates tracked since 2018).

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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 1134613979) is a healthcare organization registered as an ambulatory surgical in Germantown, Maryland and active in the NPI registry since June 2018. The organization holds 2 active CLIA laboratory certificates and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134613979

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER LLC

Location Address19851 OBSERVATION DR STE 445Germantown, MD 20876-4139

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

Phone(410) 581-1600

Organization SubpartNo

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

Enumeration DateJune 15, 2018

Last NPPES UpdateJanuary 12, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2025

✔ NPI 1134613979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

19851 OBSERVATION DR STE 445, Germantown, MD 20876

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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 21D2164345

Summit Ambulatory Surgical Center · Germantown, MD

Active · expires Feb 29, 2028

CLIA Number21D2164345

Laboratory TypePhysician Office

Certificate Effective DateMarch 1, 2026

Certificate Expiration DateFebruary 29, 2028

Laboratory DirectorBrad D. Lerner

Laboratory Phone(301) 933-9660

Laboratory LocationSummit Ambulatory Surgical Center19851 Observation Dr Suite 445, Germantown, MD 20876

CLIA data matches this NPI record on: Address Name

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

Certificate of Waiver 21D2005123

Summit Ambulatory Surgical Center LLC · Baltimore, MD

Active · expires Mar 21, 2028

CLIA Number21D2005123

Laboratory TypePhysician Office

Certificate Effective DateMarch 22, 2026

Certificate Expiration DateMarch 21, 2028

Laboratory DirectorBrad Lerner

Laboratory Phone(410) 581-1600

Laboratory LocationSummit Ambulatory Surgical Center LLC1838 Greene Tree Rd #450, Baltimore, MD 21208

CLIA data matches this NPI record on: Name Phone

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

Areas of Expertise CMS Part B claims 6

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.

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.

260 services248 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.

23 services23 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

22 services22 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

19 services19 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.

17 services12 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.

15 services15 patients

Other Providers at the Same Location NPPES 2

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

HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA

Anesthesiology

19851 OBSERVATION DR STE 445
GERMANTOWN, MD 20876

Montgomery County (301) 754-7000

SUMMIT BRACHYTHERAPY LLC

Clinic/Center (Ambulatory Surgical)

19851 OBSERVATION DR STE 445
GERMANTOWN, MD 20876

Montgomery County (301) 933-9660

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 1134613979. It was assigned to this organization in the NPPES registry on June 15, 2018.

Where is Summit Ambulatory Surgical Center LLC located?

Summit Ambulatory Surgical Center LLC is located at 19851 Observation Dr Ste 445, Germantown, MD 20876. The listed phone number is (410) 581-1600.

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 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 Summit Ambulatory Surgical Center LLC was last updated on January 12, 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.