Organization Active NPI

Bay Surgery Centers Glen Burnie

  • Ambulatory Surgical Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1346923182
Registry record updated Aug 9, 2023
On this page

Key facts

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

Updated by the provider on Aug 9, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
21D2307229Bay Surgery Centers Glen Burnie LLC Dba Clearway S7704 Quarterfield Rd #F, Glen Burnie, MD 21061Certificate of waiverJul 2, 2028

National Provider Directory

National Provider Directory

NPI 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

Sources for this page

Verify at the official NPI Registry.