Active NPI
Bay Surgery Centers Glen Burnie
- Ambulatory Surgical Clinic/Center
- Glen Burnie, MD
National Provider Identifier
1346923182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BAY SURGERY CENTERS GLEN BURNIE
- Practice address
- 7704 Quarterfield Rd Ste F
Glen Burnie, MD 21061-4412 - Phone
- (855) 527-7246
- NPI assigned
- Aug 9, 2023
- 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
- Ira Kornbluth, MD
- Title
- President
- Phone
- (855) 527-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7704 Quarterfield Rd Ste F
Glen Burnie, MD 21061-4412
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246
Other names 1
- Clearway Surgery Center of Glen Burnie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240627001329 | MD | Part B Supplier - Ambulatory Surgical Center | 0547399750 | Practice locations: Glen Burnie, MD |
Ambulatory surgical center certification: CCN 21C0001688
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
- Clearway Surgery Center of Glen Burnie
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 14, 2025
- Last certification
- Feb 14, 2025
- Facility address
- 7704 Quarterfield Road Suite F
Glen Burnie, MD 21061
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 |
|---|---|---|---|
| 21D2307229 | Bay Surgery Centers Glen Burnie LLC Dba Clearway S | Certificate of waiver | Jul 2, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1346923182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY STE 205",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017096",
"telephone_number": "855-527-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7704 QUARTERFIELD RD STE F",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614412",
"telephone_number": "855-527-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY SURGERY CENTERS GLEN BURNIE",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "KORNBLUTH",
"authorized_official_first_name": "IRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-527-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clearway Surgery Center of Glen Burnie",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clearway Surgery Center of Glen Burnie",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Burnie, MD
- Bay Area Orthopaedics & Sports Medicine
- Bay Area Orthopaedics and Sports Medicine
- Bay Area Physical Therapy, LLC
- Bay Region Counseling LLC
- Bay Surgery Centers - Glen Burnie
- Bay Women'S Health, LLC
- Bayada Home Health Care, Inc.
- Bayside Physical Therapy & Sports Rehabilitation Limited Partnership
- Crystal Bazemore, BSN, RN
- Bbcare Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.