Organization Active NPI

Box Hill Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Abingdon, MD
National Provider Identifier
1164697009
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Dr. Ritu T Bhambhani, MDNPI 1053394130
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1101021Box Hill Surgery Center100 Walter Ward Blvd Unit 300, Abingdon, MD 21009Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.