Organization Active NPI

Carroll County Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Westminster, MD
National Provider Identifier
1063459451
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
D0018903 Issued in MD
Legal business name
CARROLL COUNTY AMBULATORY SURGICAL CENTER
Practice address
826 Washington Road
Suite 220
Westminster, MD 21157
Phone
(410) 848-2203
Fax
(410) 848-2283
NPI assigned
Jun 2, 2006
Organization subpart
Yes
Parent organization
CARROLL COUNTY AMBULATORY SURGICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Yash Kumar, MDNPI 1013959055
Title
Owner
Phone
(410) 848-2203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X D0018903 MD Primary

Addresses

Primary practice location

826 Washington Road
Suite 220
Westminster, MD 21157

Mailing address

826 Washington Road
Suite 220
Westminster, MD 21157
Phone (410) 848-2203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060622000325 MD Part B Supplier - Ambulatory Surgical Center 9436161007 Practice locations: Westminster, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Carroll County Ambulatory Surgical CenterCCN 21C0001290
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Carroll County Ambulatory Surgical Center LLC2 organizations share this tax ID, including this one
Part of
Carroll County Ambulatory Surgical Center LLC

Other organizations with this tax ID 1

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

Locations

826 Washington Rd
Ste 201
Westminster, MD 21157
Phone (410) 848-2203

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1063459451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ROAD",
            "address_2": "SUITE 220",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2203",
            "fax_number": "410-848-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ROAD",
            "address_2": "SUITE 220",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-2203",
            "fax_number": "410-848-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL COUNTY AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARROLL COUNTY AMBULATORY SURGICAL CENTER",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "YASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-848-2203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "D0018903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.