Active NPI
Clearway Pain Surgery Center of Windsor Mill LLC
- Ambulatory Surgical Clinic/Center
- Windsor Mill, MD
National Provider Identifier
1013690536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CLEARWAY PAIN SURGERY CENTER OF WINDSOR MILL LLC
- Doing business as
- Clearway Surgery Center of Windsor Mill
- Practice address
- 2373 N Rolling Rd
Windsor Mill, MD 21244-1952 - Phone
- (855) 527-7246
- Fax
- (866) 229-5063
- NPI assigned
- Aug 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ira Kornbluth, M.D.
- Title
- President
- Phone
- (855) 527-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2373 N Rolling Rd
Windsor Mill, MD 21244-1952
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246
Other names 1
- Clearway Surgery Center of Windsor Mill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230920003900 | MD | Part B Supplier - Ambulatory Surgical Center | 9931553286 | Practice locations: Windsor Mill, MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1013690536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY STE 205",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017096",
"telephone_number": "855-527-7246",
"fax_number": "866-229-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 N ROLLING RD",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441952",
"telephone_number": "855-527-7246",
"fax_number": "866-229-5063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARWAY PAIN SURGERY CENTER OF WINDSOR MILL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-10",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "KORNBLUTH",
"authorized_official_first_name": "IRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-527-7246",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clearway Surgery Center of Windsor Mill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.