Active NPI
Anne Arundel Urological Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- A1235
- Legal business name
- ANNE ARUNDEL UROLOGICAL SURGERY CENTER LLC
- Practice address
- 600 Ridgely Ave Ste 130
Annapolis, MD 21401-1045 - Phone
- (410) 266-8049
- Fax
- (410) 266-8054
- NPI assigned
- Oct 18, 2006
- 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
- Mara Holton, MD
- Title
- Ceo/President
- Phone
- (410) 266-8049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | A1235 | MD | Primary |
| Lithotripsy Clinic/Center | 261QL0400X | A1235 | MD |
Addresses
Primary practice location
600 Ridgely Ave Ste 130
Annapolis, MD 21401-1045
Mailing address
600 Ridgely Ave Ste 130
Annapolis, MD 21401-1045
Phone (410) 266-8049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100504000355 | MD | Part B Supplier - Ambulatory Surgical Center | 0648308155 | Practice locations: Annapolis, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Anne Arundel Urological Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D1049365 | Anne Arundel Urological Surgery Center LLC | Certificate of waiver | Apr 12, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
600 Ridgely Ave
Ste 130
Annapolis, MD 21401
Phone 4102668049157
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Annapolis, MD
- NPI 1275677874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1023199601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE STE 130",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011045",
"telephone_number": "410-266-8049",
"fax_number": "410-266-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE STE 130",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011045",
"telephone_number": "410-266-8049",
"fax_number": "410-266-8054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNE ARUNDEL UROLOGICAL SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "HOLTON",
"authorized_official_first_name": "MARA",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "410-266-8049",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "A1235",
"primary": true
},
{
"code": "261QL0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Lithotripsy",
"state": "MD",
"license": "A1235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
- Anne Arundel Medical Center Pharmacy
- Anne Arundel Medical Center, Inc
- Anne Arundel Medical Center, Inc
- Anne Arundel Orthopaedic Surgeons, P.a.
- Anne Arundel Pathology Services, LLC
- Anne Arundel Urology, PA
- Anne Arundel-Sca Surgicenter, LLC
- Jan Rainier Anova, IDC
- Answered Prayers Therapeutic Services, LLC
- Raquel Antaran
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.