Organization Active NPI

University of Maryland Medicine ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
National Provider Identifier
1043684129
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNIVERSITY OF MARYLAND MEDICINE ASC, LLC
Practice address
5900 Waterloo Rd Ste 120
Columbia, MD 21045-2636
Phone
(667) 214-2300
Fax
(866) 348-2079
NPI assigned
Nov 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hae Lin Retz, RN
Title
Ceo/Administrator
Phone
(667) 214-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5900 Waterloo Rd Ste 120
Columbia, MD 21045-2636

Mailing address

5900 Waterloo Rd Ste 120
Columbia, MD 21045-2636
Phone (667) 214-2300

Other names 1

  • University of Maryland Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201001807 MD Part B Supplier - Ambulatory Surgical Center 8729382460 Practice locations: Columbia, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
University of Maryland Medicine ASC LLCCCN 21C0001577
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2107565University of Maryland ASC, LLC5900 Waterloo Road Suite 120, Columbia, MD 21045Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1043684129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WATERLOO RD STE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452636",
            "telephone_number": "667-214-2300",
            "fax_number": "410-799-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WATERLOO RD STE 120",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452636",
            "telephone_number": "667-214-2300",
            "fax_number": "866-348-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND MEDICINE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "RETZ",
        "authorized_official_first_name": "HAE LIN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "667-214-2300",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Maryland Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.