ANNAPOLIS ASC
NPI 1215548524
Clinic/Center - Ambulatory Surgical in Annapolis, MD

Active since August 11, 2020CLIA 21D2211085 · Waiver
810 BESTGATE RD STE 200, ANNAPOLIS, MD 21401(855) 405-7100 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2025, Feb 9, 2023, Aug 17, 2022 and 2 more (5 updates tracked since 2020).

About Annapolis Asc NPPES

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

ANNAPOLIS ASC (NPI 1215548524) is a healthcare organization registered as an ambulatory surgical in Annapolis, Maryland and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1215548524
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER, LLC
Location Address810 BESTGATE RD STE 200Annapolis, MD 21401-3033
Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (469) 872-4706
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateAugust 11, 2020
Last NPPES UpdateJanuary 14, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1215548524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
810 BESTGATE RD STE 200, Annapolis, MD 21401

Other Names 1

Doing Business AsAnnapolis Asc

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 21D2211085

Summit Ambulatory Surgical Center LLC - Annapolis · Annapolis, MD
Active · expires Jan 25, 2027
CLIA Number21D2211085
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDr. Brad D. Lerner
Laboratory Phone(443) 738-8170
Laboratory LocationSummit Ambulatory Surgical Center LLC - Annapolis810 Bestgate Drive #200, Annapolis, MD 21401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
3,000 services13 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.
453 services425 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.
166 services165 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.
160 services159 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
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.
26 services25 patients

Other Providers at the Same Location NPPES

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

Anesthesiology
810 BESTGATE RD STE 200
ANNAPOLIS, MD 21401

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 1215548524. It was assigned to this organization in the NPPES registry on August 11, 2020. The provider is doing business as Annapolis ASC.

Where is Summit Ambulatory Surgical Center, LLC located?

Summit Ambulatory Surgical Center, LLC is located at 810 Bestgate Rd Ste 200, Annapolis, MD 21401. The listed phone number is (855) 405-7100.

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 21D2211085) is associated with this NPI, valid through January 25, 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 with the weekly NPPES data releases published by CMS.