Organization Active NPI

Baltimore Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
National Provider Identifier
1053073288
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BALTIMORE SURGERY CENTER, LLC
Practice address
3421 Benson Ave
Baltimore, MD 21227-1056
Phone
(301) 494-3000
Fax
(301) 494-3333
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Jeffrey Wheeler, JD, MBA
Title
Ceo
Phone
(301) 494-3000

Specialties & licenses 1

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

Addresses

Primary practice location

3421 Benson Ave
Baltimore, MD 21227-1056

Mailing address

1220 Caraway CT Ste 1050
Upper Marlboro, MD 20774-5338
Phone (301) 494-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113001149 MD Part B Supplier - Ambulatory Surgical Center 8729470257 Practice locations: Baltimore, MD

Ambulatory surgical center certification: CCN 21C0001659

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Baltimore Surgery Center, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 31, 2022
Last certification
Oct 31, 2022
Facility address
3421 Benson Ave, Suite G100
Baltimore, MD 21227

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
21D2254872Baltimore Surgery Center, LLC3421 Benson Avenue, Suite G100, Baltimore, MD 21227Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1053073288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CARAWAY CT STE 1050",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745338",
            "telephone_number": "301-494-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271056",
            "telephone_number": "301-494-3000",
            "fax_number": "301-494-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-494-3000",
        "authorized_official_credential": "JD, MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.