SUMMIT AMBULATORY SURGICAL CENTER, LLC
NPI 1649707324
Clinic/Center - Ambulatory Surgical in Potomac, MD

Q: 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.

Active since May 12, 2017CLIA 21D0978653 · Waiver

12435 PARK POTOMAC AVE STE 410, POTOMAC, MD 20854(301) 309-8219 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2023, Aug 17, 2022, May 12, 2017 (3 updates tracked since 2017).

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About Summit Ambulatory Surgical Center, Llc NPPES

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

SUMMIT AMBULATORY SURGICAL CENTER, LLC (NPI 1649707324) is a healthcare organization registered as an ambulatory surgical in Potomac, Maryland and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1649707324

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER, LLC

Location Address12435 PARK POTOMAC AVE STE 410Potomac, MD 20854-6975

Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (469) 872-4706

Phone(301) 309-8219

Organization SubpartNo

Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168

Enumeration DateMay 12, 2017

Last NPPES UpdateOctober 28, 20243 updates tracked since enumeration

NPPES CertifiedOctober 28, 2024

✔ NPI 1649707324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

12435 PARK POTOMAC AVE STE 410, Potomac, MD 20854

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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 21D0978653

Summit Ambulatory Surgical Center · Potomac, MD

Active · expires Sep 28, 2026

CLIA Number21D0978653

Laboratory TypePhysician Office

Certificate Effective DateSeptember 29, 2024

Certificate Expiration DateSeptember 28, 2026

Laboratory DirectorBrad Lerner

Laboratory Phone(866) 953-3111

Laboratory LocationSummit Ambulatory Surgical Center12435 Park Potomac Ave Suite 410, Potomac, MD 20854

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 27

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.

14,500 services70 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.

1,453 services1,291 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.

386 services385 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.

376 services374 patients

Injection, mitomycin, 5 mg J9280

Mitomycin injection is a medication used to treat certain types of cancer. It works by slowing or stopping the growth of cancer cells. The 5mg dosage refers to the amount of the active ingredient, Mitomycin, in the injection.

168 services20 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.

140 services133 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

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.

113 services105 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

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.

110 services72 patients

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants C9740

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.

84 services83 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This 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.

80 services80 patients

Biopsy of bladder using an endoscope 52204

A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.

66 services63 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

61 services57 patients

Insertion of stent in ureter using an endoscope 52332

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.

44 services40 patients

Insertion of sacral nerve neurostimulator electrode array 64561

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.

41 services18 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.

39 services39 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

37 services33 patients

Dilation of urethra using an endoscope 52281

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.

34 services32 patients

Imaging of urinary tract following injection of a contrast agent 74420

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.

32 services30 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

28 services23 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

26 services26 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

22 services21 patients

Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm 52317

This procedure involves breaking down and removing small stones found in your bladder. The stones are first crushed into smaller pieces, then removed to help alleviate discomfort and prevent further complications.

16 services16 patients

Complete removal of remaining or regrown prostate tissue with control of bleeding using an endoscope 52630

This procedure involves the complete removal of any residual or regrown tissue in a specific area of the body. An endoscope, a special tool with a camera, is used to control any bleeding and ensure precision. It's a common, safe, and effective treatment option.

15 services15 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715

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.

14 services14 patients

Insertion of tube into ureter using an endoscope through bladder area 52005

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

12 services12 patients

Destruction and/or removal of large growth of bladder using an endoscope 52240

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

12 services11 patients

Incision of urethra using an endoscope 52276

This is a minimally invasive procedure where a small instrument, called an endoscope, is used to make an incision in the urethra. The urethra is the tube that allows urine to pass out of the body. This procedure can help address certain health issues, ensuring a smoother flow of urine.

11 services11 patients

Other Providers at the Same Location NPPES 2

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

CHESAPEAKE UROLOGY ASSOCIATES, LLC

Urology

12435 PARK POTOMAC AVE STE 410
POTOMAC, MD 20854

Montgomery County (866) 953-3111

HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA

Anesthesiology

12435 PARK POTOMAC AVE STE 410
POTOMAC, MD 20854

Montgomery County (866) 953-3111

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 1649707324. It was assigned to this organization in the NPPES registry on May 12, 2017.

Where is Summit Ambulatory Surgical Center, LLC located?

Summit Ambulatory Surgical Center, LLC is located at 12435 Park Potomac Ave Ste 410, Potomac, MD 20854. The listed phone number is (301) 309-8219.

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 21D0978653) is associated with this NPI, valid through September 28, 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 Summit Ambulatory Surgical Center, LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.