WEST ANNAPOLIS SURGERY CENTER, LLC
NPI 1467844068
Clinic/Center - Ambulatory Surgical in Annapolis, MD

Active since February 19, 2015CLIA 21D2119914 · Waiver
104 RIDGELY AVE, ANNAPOLIS, MD 21401(410) 266-7102(410) 266-6042 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West Annapolis Surgery Center, Llc NPPES

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

WEST ANNAPOLIS SURGERY CENTER, LLC (NPI 1467844068) is a healthcare organization registered as an ambulatory surgical in Annapolis, Maryland and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Henry D Sandel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467844068
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWEST ANNAPOLIS SURGERY CENTER, LLC
Location Address104 RIDGELY AVEAnnapolis, MD 21401-1439
Mailing Address104 Ridgely AveAnnapolis, MD 21401-1439 · (410) 266-7102 · Fax (410) 266-6042
Fax(410) 266-6042
Organization SubpartNo
Authorized OfficialHenry D SandelMedical Director · (410) 266-7102
Enumeration DateFebruary 19, 2015
NPI 1467844068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
104 RIDGELY AVE, Annapolis, MD 21401

Other Identifiers 1

Medicare UPIN1306018866MD

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 21D2119914

West Annapolis Surgery Center LLC · Annapolis, MD
Active · expires Oct 5, 2026
CLIA Number21D2119914
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorDr. Henry D. Sandel IV MD
Laboratory Phone(410) 266-7120
Laboratory LocationWest Annapolis Surgery Center LLC104 Ridgely Ave Ste 301, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
13 services13 patients

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Pulmonary Disease)
104 RIDGELY AVE, SUITE 301
ANNAPOLIS, MD 21401
Legal Medicine
104 RIDGELY AVE, SUITE 302
ANNAPOLIS, MD 21401
Counselor (Professional)
104 RIDGELY AVE, SUITE 202
ANNAPOLIS, MD 21401
Counselor (Professional)
104 RIDGELY AVE, SUITE 203
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 West Annapolis Surgery Center, LLC's NPI number?

The NPI number for West Annapolis Surgery Center, LLC is 1467844068. It was assigned to this organization in the NPPES registry on February 19, 2015.

Where is West Annapolis Surgery Center, LLC located?

West Annapolis Surgery Center, LLC is located at 104 Ridgely Ave, Annapolis, MD 21401. The listed phone number is (410) 266-7102.

What is West Annapolis Surgery Center, LLC's specialty?

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

Does West Annapolis Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2119914) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Annapolis Surgery Center, LLC was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.