Summit Ambulatory Surgical Center, LLC
NPI 1205023280 · Ambulatory Surgical Clinic/Center · Baltimore, MD
Summit Ambulatory Surgical Center, LLC is a Ambulatory Surgical Clinic/Center organization in Baltimore, MD (NPI 1205023280).
Provider details
- NPI number
- 1205023280
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Bailey, Officer/Authorized Official(203) 609-1168
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
707 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 356 | $304 |
| Insertion of Sacral Nerve Neurostimulator Electrode Array64561 | 58 | $4,749 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 55 | $55 |
| Biopsy of Prostate Gland55700 | 48 | $884 |
| Exam With Injections of Chemical for Destruction of Bladder Using an Endoscope52287 | 40 | $882 |
| Cystourethroscopy, With Insertion of Transprostatic Implant; 4 Or More ImplantsC9740 | 34 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-03
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Frequently asked questions
- What is Summit Ambulatory Surgical Center, LLC's NPI number?
- Summit Ambulatory Surgical Center, LLC's National Provider Identifier (NPI) is 1205023280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Ambulatory Surgical Center, LLC?
- Summit Ambulatory Surgical Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Summit Ambulatory Surgical Center, LLC located?
- Summit Ambulatory Surgical Center, LLC's practice location on file with NPPES is 3407 Wilkens Ave, Baltimore, MD 21229-5072.
- What is Summit Ambulatory Surgical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Ambulatory Surgical Center, LLC is (410) 644-0929.
- Who is the authorized official for Summit Ambulatory Surgical Center, LLC?
- The authorized official listed on Summit Ambulatory Surgical Center, LLC's NPPES record is Jonathan Bailey, Officer/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Ambulatory Surgical Center, LLC's NPI active?
- Yes — Summit Ambulatory Surgical Center, LLC's NPI (1205023280) is active in the NPPES registry as of the last update on 2025-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.