SUMMIT AMBULATORY SURGICAL CENTER, LLC
NPI 1205023280
Clinic/Center - Ambulatory Surgical in Baltimore, MD

NPI Status: Active since October 03, 2007

Contact Information

3407 WILKENS AVE
SUITE 200
BALTIMORE, MD
ZIP 21229
Phone: (410) 644-0929
Fax: (410) 644-4338

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 21D1102721
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-22-2027

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 Baltimore, Maryland operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1205023280 assigned on October 2007. 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
1205023280
Provider Name
SUMMIT AMBULATORY SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
3407 WILKENS AVE SUITE 200 BALTIMORE, MD 21229
Location Phone
(410) 644-0929
Location Fax
(410) 644-4338
Mailing Address
14201 DALLAS PKWY STE 306 DALLAS, TX 75254
Mailing Phone
(469) 872-4706
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2007
Last Update Date
01-14-2025
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONATHAN BAILEY

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(203) 609-1168

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
800906603MEDICAID (05)MD 

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

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 56 times for 55 patients

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

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.

This service was performed 15 times for 15 patients

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

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.

This service was performed 18 times for 15 patients

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

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.

This service was performed 26 times for 25 patients

Diagnostic exam of bladder and urethra using an endoscope

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.

This service was performed 338 times for 312 patients

Dilation of urethra using an endoscope

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.

This service was performed 27 times for 22 patients

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

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.

This service was performed 35 times for 28 patients

Imaging of urinary tract following injection of a contrast agent

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

This service was performed 15 times for 14 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope

This 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 12 times for 12 patients

Injection, onabotulinumtoxina, 1 unit

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.

This service was performed 7,600 times for 28 patients

Insertion of peripheral or gastric neurostimulator generator

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.

This service was performed 19 times for 19 patients

Insertion of sacral nerve neurostimulator electrode array

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.

This service was performed 33 times for 17 patients

Insertion of stent in ureter using an endoscope

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.

This service was performed 26 times for 17 patients

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

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.

This service was performed 22 times for 21 patients

Ultrasound scan of pelvic region through rectum

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.

This service was performed 75 times for 73 patients

CLIA 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
21D1102721
Facility Type
Physician Office
Certificate Effective Date
July 23, 2025
Certificate Expiration Date
July 22, 2027
Laboratory Director
BRAD D. LERNER MD
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 1205023280, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 0 → 0 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 0 + 2 + 6 + 2 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1205023280.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Obstetrics & Gynecology)
3407 WILKENS AVE, SUITE 210
BALTIMORE, MD 21229
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3407 WILKENS AVE, SUITE 400
BALTIMORE, MD 21229
Internal Medicine (Clinical Cardiac Electrophysiology)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Surgery (Vascular Surgery)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Dentist
3407 WILKENS AVE, SUITE 205
BALTIMORE, MD 21229
Obstetrics & Gynecology (Gynecology)
3407 WILKENS AVE, SUITE 210
BALTIMORE, MD 21229
Urology
3407 WILKENS AVE, SUITE 210
BALTIMORE, MD 21229
Physician Assistant (Medical)
3407 WILKENS AVE, SUITE 210
BALTIMORE, MD 21229
Neurological Surgery
3407 WILKENS AVE, SUITE 250
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Interventional Cardiology)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Interventional Cardiology)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Family Medicine (Sports Medicine)
3407 WILKENS AVE
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, STE 300
BALTIMORE, MD 21229
General Practice
3407 WILKENS AVE
BALTIMORE, MD 21229
Registered Nurse (Ambulatory Care)
3407 WILKENS AVE
BALTIMORE, MD 21229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205023280, enumerated as an "organization" on October 03, 2007.

The provider is located at 3407 WILKENS AVE SUITE 200 BALTIMORE, MD 21229 and the phone number is (410) 644-0929.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.