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SUMMIT MEDICAL GROUP LLC
NPI 1952970816
Clinic/Center - Multi-Specialty in Columbia, MD

Active since June 23, 2021CLIA 21D1021899 · Waiver
6310 STEVENS FOREST RD STE 200, COLUMBIA, MD 21046(410) 740-9001(410) 740-9005 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Aug 24, 2021, Jun 28, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1952970816
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSUMMIT MEDICAL GROUP LLC
Location Address6310 STEVENS FOREST RD STE 200Columbia, MD 21046-1068
Mailing Address14520 Edgewoods WayGlenelg, MD 21737-9608 · (410) 245-2414 · Fax (410) 740-9005
Phone(410) 740-9001
Fax(410) 740-9005
Organization SubpartNo
Authorized OfficialNjideka UdochiOwner · (410) 245-2414
Enumeration DateJune 23, 2021
Last NPPES UpdateDecember 13, 20234 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1952970816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6310 STEVENS FOREST RD STE 200, Columbia, MD 21046
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Secondary Practice Location 1

Location 17310 Ritchie HwyGlen Burnie, MD 21061-3065 · Phone (410) 684-5934 · Fax (410) 684-5939

Other Identifiers 2

OtherD00051897MD · Md License
Medicaid685900301MD

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, MD
Active · expires Jan 9, 2027
CLIA Number21D1021899
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorNjideka Udochi MD
Laboratory Phone(410) 740-9001
Laboratory LocationSummit Medical Group6310 Stevens Forest Rd Ste 200, Columbia, MD 21046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. SVETLANA PAUL MD
General Practice
6310 STEVENS FOREST RD STE 200
COLUMBIA, MD 21046
Howard County (301) 454-9398
SUMMIT HOLISTIC CENTER LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
6310 STEVENS FOREST RD STE 200
COLUMBIA, MD 21046
Howard County (410) 245-2414

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 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.

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.