NPIMap

Organization Active NPI

Johns Hopkins Surgery Centers Series

  • Ambulatory Surgical Clinic/Center
  • Lutherville, MD
National Provider Identifier
1053039883
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JOHNS HOPKINS SURGERY CENTERS SERIES
Practice address
10755 Falls Road
Pavilion I, Suite 480
Lutherville, MD 21093
Phone
(410) 616-7250
Fax
(410) 616-7251
NPI assigned
Aug 18, 2022
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Lisa Ishii, MD
Title
Senior Vice President of Operations
Phone
(410) 583-7185

Specialties & licenses 1

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

Addresses

Primary practice location

10755 Falls Road
Pavilion I, Suite 480
Lutherville, MD 21093

Mailing address

10803 Falls Road
Pavilion 3, Suite 2500
Lutherville, MD 21093

Other names 1

  • Fertility Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010001491 MD Part B Supplier - Ambulatory Surgical Center 3476642539 Practice locations: Lutherville, MD

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Johns Hopkins Surgery Center SeriesCCN 21C0001663
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
21D0964281Johns Hopkins Fertility Center10755 Falls Road Ste 403/Pavillion I, Lutherville, MD 21093Provider-performed microscopyAug 21, 2027
21D2274816Johns Hopkins Fertility Center ASC10755 Falls Road Pavillion 1 Suite 480, Lutherville, MD 21093Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Surgery Centers Series7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

10755 Falls Rd
Ste 48
Lutherville, MD 21093
Phone (410) 616-7250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1053039883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 FALLS ROAD",
            "address_2": "PAVILION 3, SUITE 2500",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 FALLS ROAD",
            "address_2": "PAVILION I, SUITE 480",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-616-7250",
            "fax_number": "410-616-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS SURGERY CENTERS SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "ISHII",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "410-583-7185",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fertility Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.