SUMMIT AMBULATORY SURGICAL CENTER LLC
NPI 1134613979
Clinic/Center - Ambulatory Surgical in Germantown, MD
NPI Status: Active since June 15, 2018
Contact Information
19851 OBSERVATION DR STE 445
GERMANTOWN, MD
ZIP 20876
Phone: (410) 581-1600
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 21D2164345
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-29-2028
About SUMMIT AMBULATORY SURGICAL CENTER LLC
This page provides the complete NPI Profile along with additional information for Summit Ambulatory Surgical Center Llc, a provider established in Germantown, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1134613979 assigned on June 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jonathan Bailey (Officer/authorized Official)
- NPI
- 1134613979
- Provider Name
- SUMMIT AMBULATORY SURGICAL CENTER LLC
- Entity Type
- Organization
- Location Address
- 19851 OBSERVATION DR STE 445 GERMANTOWN, MD 20876
- Location Phone
- (410) 581-1600
- Mailing Address
- 14201 DALLAS PKWY DALLAS, TX 75254
- Mailing Phone
- (469) 872-4706
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2018
- Last Update Date
- 01-12-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy of prostate gland
Crushing of stone of ureter with insertion of stent using an endoscope
Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
Diagnostic exam of bladder and urethra using an endoscope
Injection of implant material beneath lining of bladder and/or urethra using an endoscope
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope
Shock wave crushing of kidney stones
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope
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.
This service was performed 11 times for 11 patientsThis 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.
This service was performed 20 times for 18 patientsCystourethroscopy 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.
This service was performed 11 times for 11 patientsThis 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.
This service was performed 250 times for 236 patientsThis is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.
This service was performed 14 times for 14 patientsThis 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.
This service was performed 21 times for 21 patientsShock 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.
This service was performed 15 times for 15 patientsThis 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.
This service was performed 17 times for 17 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2164345
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2026
- Certificate Expiration Date
- February 29, 2028
- Laboratory Director
- BRAD D. LERNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Summit Ambulatory Surgical Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134613979, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GERMANTOWN, MD 20876
GERMANTOWN, MD 20876
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134613979, enumerated as an "organization" on June 15, 2018.
The provider is located at 19851 OBSERVATION DR STE 445 GERMANTOWN, MD 20876 and the phone number is (410) 581-1600.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.