Summit Brachytherapy LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUMMIT BRACHYTHERAPY LLC

Practice address

3407 Wilkens Ave Ste 200
Baltimore, MD 21229-5221

Phone

(410) 644-0929

NPI assigned

Jul 11, 2022

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanford Siegel, MDNPI 1376506477

Title

Ao

Phone

(410) 581-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306570940. Details of each certification follow.

• CCN 21C0001673 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 21C0001673

Legal name

Summit Brachytherapy, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 1, 2024

Last certification

Feb 29, 2024

Facility address

3407 Wilkens Avenue, Suite 200
Baltimore, MD 21229

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

CLIA laboratory certificates

Tax ID family

Summit Brachytherapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Summit Brachytherapy LLC

  • Ambulatory Surgical Clinic/Center
  • Germantown, MD
  • NPI 1679207211
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Chesapeake Urology Associates, P a

  • Durable Medical Equipment & Medical Supplies
  • Owings Mills, MD
  • NPI 1477759124

  Member Of

  NPD member

Practitioners 1

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.

• Sanford Jay Siegel, M.D.

  • Urology Physician
  • Owings Mills, MD
  • NPI 1376506477
  NPD (past) Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1306570940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "559-385-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295221",
            "telephone_number": "410-644-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BRACHYTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "410-581-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Ambulatory Surgical Center, LLC
• Summit Ambulatory Surgical Center, LLC
• Summit Ambulatory Surgical Center, LLC
• Summit Ambulatory Surgical Center, LLC
• Summit Ambulatory Surgical Center, LLC
• Summit Community Health, Inc
• Summit Community Health, Inc
• Summit Community Health, Inc
• Summit Community Health, Inc
• Summit Community Health, Inc

• Ambulatory Surgical Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.

Verify at the official NPI Registry.