1. Home
  2. Directory
  3. Maryland
  4. Beltsville
  5. Clinic Center
  6. NPI Profile

ADVANTIA HEALTH INDIAN CREEK ASC
NPI 1245620871
Clinic/Center - Ambulatory Surgical in Beltsville, MD

Active since February 03, 2015
12240 INDIAN CREEK CT STE 130, BELTSVILLE, MD 20705(240) 560-5092 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advantia Health Indian Creek Asc NPPES

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

ADVANTIA HEALTH INDIAN CREEK ASC (NPI 1245620871) is a healthcare organization registered as an ambulatory surgical in Beltsville, Maryland and active in the NPI registry since February 2015. The organization lists Peter Glass, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1245620871
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANTIA SURGICAL LLC
Location Address12240 INDIAN CREEK CT STE 130Beltsville, MD 20705-1260
Mailing Address12240 Indian Creek Ct Ste 130Beltsville, MD 20705-1260
Phone(240) 560-5092
Organization SubpartYesParent: Advantia Holdings Of Maryland Llc
Authorized OfficialPeter GlassChief Medical Officer · (240) 560-5092
Enumeration DateFebruary 3, 2015
Last NPPES UpdateJune 28, 2017
✔ NPI 1245620871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12240 INDIAN CREEK CT STE 130, Beltsville, MD 20705
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvantia Health Indian Creek Asc

Other Identifiers 4

Medicare OSCAR/certification21C001572MD
OtherA1572MD · Md State Asc License
Other582166MD · The Joint Commission Certification
Medicare PIN454377MD

Other Providers at the Same Location NPPES

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

MARYLAND PHYSICIANS EDGE LLC
Clinical Medical Laboratory
12240 INDIAN CREEK CT STE 130
BELTSVILLE, MD 20705
Prince George's County (301) 681-6772

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 Advantia Surgical LLC's NPI number?

The NPI number for Advantia Surgical LLC is 1245620871. It was assigned to this organization in the NPPES registry on February 3, 2015. The provider is doing business as Advantia Health Indian Creek ASC.

Where is Advantia Surgical LLC located?

Advantia Surgical LLC is located at 12240 Indian Creek Ct Ste 130, Beltsville, MD 20705. The listed phone number is (240) 560-5092.

What is Advantia Surgical LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Advantia Surgical LLC was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.