NPIMap

Organization Active NPI

University of Maryland Surgcial Assoc PA

Doing business as University of Maryland Urological Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
National Provider Identifier
1083624225
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNIVERSITY OF MARYLAND SURGCIAL ASSOC PA
Doing business as
University of Maryland Urological Surgery Center
Practice address
419 W Redwood St
Suite 310
Baltimore, MD 21201-1734
Phone
(410) 328-4080
Fax
(410) 328-2109
NPI assigned
Aug 9, 2006
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Sandra Regula
Title
Associate Administrator
Phone
(410) 328-2657

Specialties & licenses 1

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

Addresses

Primary practice location

419 W Redwood St
Suite 310
Baltimore, MD 21201-1734

Mailing address

PO Box 64226
Baltimore, MD 21264-4226
Phone (410) 328-4080

Other identifiers 1

IdentifierTypeStateIssuer
HM1171OtherMDFREESTATE GRP NUMBER

Other names 1

  • University of Maryland Urological Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080811000250 MD Part B Supplier - Ambulatory Surgical Center 1658262472 Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
University of Maryland Urological Surgery CenterCCN 21C0001298
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Surgical Associates PA357 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 34)

22 S Greene St
#N5E17
Baltimore, MD 21201
Phone (410) 328-6957

29 S Greene St
#65110
Baltimore, MD 21201

29 S Greene St
Ste 110
Baltimore, MD 21201

29 S Greene St
Ste 201
Baltimore, MD 21201

345 Saint Paul St
#1
Baltimore, MD 21202

419 W Redwood St
Ste 3
Baltimore, MD 21201

419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 310
Baltimore, MD 21201
Phone (410) 328-4080

5890 Waterloo Crs
Baltimore, MD 21264

5900 Waterloo Crs
Baltimore, MD 21264

821 N Eutaw St
Fl 5
Baltimore, MD 21201

500 Upper Chesapeake Dr
#509A
Bel Air, MD 21014

510 Upper Chesapeake Dr
Ste 511
Bel Air, MD 21014

510 Upper Chesapeake Dr
Ste 515
Bel Air, MD 21014
Phone (443) 643-3233

520 Upper Chesapeake Dr
#509
Bel Air, MD 21014

7651 Matapeake Business Dr
Ste 1
Brandywine, MD 20613

100 Brown St
Ste 102
Chestertown, MD 21620

100 Brown St
Ste 106
Chestertown, MD 21620

105 Brown St
Ste 102
Chestertown, MD 21620

5890 Waterloo Rd
Ste 250
Columbia, MD 21045

901 Harry S Truman Dr N
Fl 2
Largo, MD 20774

7100 Contee Rd Ste 1B100
Laurel, MD 20707

7400 Van Dusen Rd
Laurel, MD 20707
Phone (240) 494-6882

251 National Harbor Blvd
#500
Oxon Hill, MD 20745

9000 Franklin Square Dr
#305
Rosedale, MD 21237

Practitioners & affiliated clinicians

Practitioners 107

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.

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1083624225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644226",
            "telephone_number": "410-328-4080",
            "fax_number": "410-328-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 310",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-4080",
            "fax_number": "410-328-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND SURGCIAL ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "REGULA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-328-2657"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREESTATE GRP NUMBER",
            "identifier": "HM1171",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Maryland Urological Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Maryland Urological Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.