SUMMIT MEDICAL GROUP LLC
NPI 1952970816
Clinic/Center - Multi-Specialty in Columbia, MD
About Summit Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MEDICAL GROUP LLC (NPI 1952970816) is a healthcare organization registered as a multi-specialty in Columbia, Maryland and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 9, 2027, maintains a secondary practice location in Glen Burnie, and lists Njideka Udochi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Summit Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 21D1021899
Summit Medical Group · Columbia, MDFrequently 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 Medical Group LLC's NPI number?
The NPI number for Summit Medical Group LLC is 1952970816. It was assigned to this organization in the NPPES registry on June 23, 2021.
Where is Summit Medical Group LLC located?
Summit Medical Group LLC is located at 6310 Stevens Forest Rd Ste 200, Columbia, MD 21046. The listed phone number is (410) 740-9001.
What is Summit Medical Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Summit Medical Group LLC enrolled in Medicare?
Yes. Summit Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Summit Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Internal Medicine (2) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Summit Medical Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D1021899) is associated with this NPI, valid through January 9, 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 Medical Group LLC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Summit Medical Group Llc · NPI 1952970816
Multi-Specialty organization in Columbia, Maryland. Organization record, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1952970816 (Entity type: Organization)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Njideka Udochi, OWNER
## Practice location
- **Address:** 6310 STEVENS FOREST RD STE 200, Columbia, MD 21046-1068
- **Phone:** (410) 740-9001 · **Fax:** (410) 740-9005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2023
- **Other identifiers:** Other D00051897 (MD); Medicaid 685900301 (MD)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952970816) · Data from the CMS NPPES public registry.