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SUMMIT AMBULATORY SURGICAL CENTER, LLC
NPI 1659793040
Clinic/Center - Ambulatory Surgical in Brandywine, MD

Active since January 20, 2014CLIA 21D2079273 · Waiver
7704 MATAPEAKE BUSINESS DR, SUITE 300, BRANDYWINE, MD 20613(301) 645-8838 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Feb 9, 2023, Aug 17, 2022 (3 updates tracked since 2022).

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 1659793040) is a healthcare organization registered as an ambulatory surgical in Brandywine, Maryland and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Jonathan Bailey, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659793040
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUMMIT AMBULATORY SURGICAL CENTER, LLC
Location Address7704 MATAPEAKE BUSINESS DR, SUITE 300Brandywine, MD 20613-3023
Mailing Address14201 Dallas Pkwy Ste 306Dallas, TX 75254-2916 · (469) 872-4706
Phone(301) 645-8838
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/authorized Official · (203) 609-1168
Enumeration DateJanuary 20, 2014
Last NPPES UpdateJanuary 16, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1659793040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MD · MDSBW
7704 MATAPEAKE BUSINESS DR, Brandywine, MD 20613
Open in Google Maps ↗

Other Identifiers 1

Medicaid800906619MD

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 21D2079273

Summit Ambulatory Surgical Center, LLC · Brandywine, MD
Active · expires Feb 24, 2028
CLIA Number21D2079273
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorBrad D. Lerner
Laboratory Phone(301) 868-0202
Laboratory LocationSummit Ambulatory Surgical Center, LLC7704 Matapeake Bussiness Dr Ste 300, Brandywine, MD 20613
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 11

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.
4,500 services26 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.
490 services412 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.
117 services116 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.
111 services110 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.
45 services45 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.
34 services26 patients

Other Providers at the Same Location NPPES 10

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

SUNIL NACHNANI PC
Internal Medicine (Cardiovascular Disease)
7704 MATAPEAKE BUSINESS DR, SUITE 325
BRANDYWINE, MD 20613
Prince George's County (240) 244-5151
KWESI GILL DDS LLC
Dentist (Pediatric Dentistry)
7704 MATAPEAKE BUSINESS DR, STE 155
BRANDYWINE, MD 20613
Prince George's County (240) 787-7446
HEART CARE OF SOUTHERN MARYLAND LLP
Internal Medicine (Cardiovascular Disease)
7704 MATAPEAKE BUSINESS DR, SUITE 325
BRANDYWINE, MD 20613
Prince George's County (240) 244-5151
ROY H LEIBOFF MD
Internal Medicine (Cardiovascular Disease)
7704 MATAPEAKE BUSINESS DR, SUITE 325
BRANDYWINE, MD 20613
Prince George's County (240) 244-5151
DANUBIA HESTER
Internal Medicine (Hematology & Oncology)
7704 MATAPEAKE BUSINESS DR
BRANDYWINE, MD 20613
Prince George's County (301) 812-3900
UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Surgery (Vascular Surgery)
7704 MATAPEAKE BUSINESS DR
BRANDYWINE, MD 20613
Prince George's County (667) 214-1718
SUNIL NACHNANI M.D.
Internal Medicine (Cardiovascular Disease)
7704 MATAPEAKE BUSINESS DR, SUITE 325
BRANDYWINE, MD 20613
Prince George's County (240) 244-5151
JOHNS HOPKINS COMMUNITY PHYSICIANS
Internal Medicine
7704 MATAPEAKE BUSINESS DR
BRANDYWINE, MD 20613
Prince George's County (410) 933-0000

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 1659793040. It was assigned to this organization in the NPPES registry on January 20, 2014.

Where is Summit Ambulatory Surgical Center, LLC located?

Summit Ambulatory Surgical Center, LLC is located at 7704 Matapeake Business Dr Suite 300, Brandywine, MD 20613. The listed phone number is (301) 645-8838.

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 21D2079273) is associated with this NPI, valid through February 24, 2028. 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 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.