Organization Active NPI

Arundel Ambulatory Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Annapolis, MD
National Provider Identifier
1083701742
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ARUNDEL AMBULATORY SURGERY CENTER, INC.
Practice address
621 Ridgely Ave
Suite 401
Annapolis, MD 21401-1081
Phone
(410) 224-2811
Fax
(410) 224-6971
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Lee Allan Kleiman, MDNPI 1497783393
Title
MD
Phone
(410) 573-9191

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 Primary

Addresses

Primary practice location

621 Ridgely Ave
Suite 401
Annapolis, MD 21401-1081

Mailing address

621 Ridgely Ave
Suite 401
Annapolis, MD 21401-1081
Phone (410) 224-2811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100311000449 MD Part B Supplier - Ambulatory Surgical Center 7517002801 Practice locations: Annapolis, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Arundel Ambulatory Surgery CenterCCN 21C0001067
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1083701742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "SUITE 401",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011081",
            "telephone_number": "410-224-2811",
            "fax_number": "410-224-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "SUITE 401",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011081",
            "telephone_number": "410-224-2811",
            "fax_number": "410-224-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL AMBULATORY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "KLEIMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "410-573-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.