Active NPI
University of Maryland Medicine ASC, LLC
- Ambulatory Surgical Clinic/Center
- Columbia, MD
National Provider Identifier
1043684129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- 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 |
|---|---|---|---|
| 21D2107565 | University of Maryland ASC, LLC | Certificate of waiver | Jan 14, 2028 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Neurological Surgery Physician
- Columbia, MD
- NPI 1639119035
Member Of
-
- Orthopaedic Surgery Physician
- Hunt Valley, MD
- NPI 1851722318
Member Of
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
- University of Maryland Eye Associates, P.a.
- University of Maryland Eye Associates, P.a.
- University of Maryland Eye Associates, P.a.
- University of Maryland Faculty Physicians Immediate Care, LLC
- University of Maryland Family Medicine Associates, P.a.
- University of Maryland Neurosurgery Associates P a
- University of Maryland Neurosurgery Associates P a
- University of Maryland Neurosurgery Associates P a
- University of Maryland Orthopaedic Associates, PA
- University of Maryland Orthopaedic Trauma Associates, PA
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.