Active NPI
Box Hill Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Abingdon, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BOX HILL SURGERY CENTER LLC
- Practice address
- 100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284 - Phone
- (410) 569-3393
- Fax
- (877) 595-7180
- NPI assigned
- Apr 22, 2008
- 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
- Dr. Ritu T Bhambhani, MD
- Title
- Medical Director
- Phone
- (443) 857-1416
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284
Mailing address
100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284
Phone (410) 569-3393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080902000195 | MD | Part B Supplier - Ambulatory Surgical Center | 0345316139 |
1 other NPI on this enrollment Practice locations: Abingdon, MD |
Ambulatory surgical center certification: CCN 21C0001485
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
- BOX HILL SURGERY CENTER, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 24, 2009
- Last certification
- Oct 25, 2019
- Ownership / control type
- Proprietary
- Facility address
- 100 Walter Ward Boulevard, Suite 300
Abingdon, MD 21009
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 |
|---|---|---|---|
| 21D1101021 | Box Hill Surgery Center | Certificate of waiver | Jun 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
100 Walter Ward Blvd
Ste 300
Abingdon, MD 21009
Phone (410) 569-3333
603 Revolution St
Ste 102
Havre de Grace, MD 21078
Phone (410) 569-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Abingdon, MD
- NPI 1053394130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597363200000",
"number": "1164697009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WALTER WARD BLVD",
"address_2": "SUITE 300",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091284",
"telephone_number": "410-569-3393",
"fax_number": "877-595-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WALTER WARD BLVD",
"address_2": "SUITE 300",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091284",
"telephone_number": "410-569-3393",
"fax_number": "877-595-7180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOX HILL SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A",
"authorized_official_last_name": "BHAMBHANI",
"authorized_official_first_name": "RITU",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "443-857-1416",
"authorized_official_name_prefix": "Dr.",
"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 Abingdon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.