Active NPI
Baltimore Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
National Provider Identifier
1053073288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 21D2254872 | Baltimore Surgery Center, LLC | Certificate of waiver | Mar 7, 2028 |
National Provider Directory
National Provider DirectoryNPI 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
- Baltimore Renal Associates
- Baltimore Safe Haven
- Baltimore Senior Living Living
- Baltimore Sleeps Better LLC
- Baltimore South Smiles Youth Dentistry, PC
- Baltimore Surgical Associates, P.a.
- Baltimore Surgical, LLC
- Baltimore Ultrasound Services,Inc
- Baltimore VA Medical Center
- Baltimore VA Rehab and Extended Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.