Active NPI
Kuresmart Pain Management Surgery Center-Catonsville LLC
Doing business as Clearway Surgery Center of Catonsville
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- KURESMART PAIN MANAGEMENT SURGERY CENTER-CATONSVILLE LLC
- Doing business as
- Clearway Surgery Center of Catonsville
- Practice address
- 4660 Wilkens Ave Ste 208
Baltimore, MD 21229-4848 - Phone
- (443) 693-7246
- NPI assigned
- Feb 1, 2019
- Last updated
- Jun 19, 2024
- 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
- Title
- President
- Phone
- (855) 527-7246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4660 Wilkens Ave Ste 208
Baltimore, MD 21229-4848
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246
Other names 1
- Clearway Surgery Center of Catonsville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190402001063 | MD | Part B Supplier - Ambulatory Surgical Center | 5395086276 | Practice locations: Baltimore, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Clearway Surgery Center of Catonsville
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 21D2162134 | Clearway Surgery Center of Catonsville | Certificate of waiver | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Interventional Pain Medicine Physician
- Owings Mills, MD
- NPI 1609872266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1649735861",
"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",
"fax_number": "866-229-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 WILKENS AVE STE 208",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294848",
"telephone_number": "443-693-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURESMART PAIN MANAGEMENT SURGERY CENTER-CATONSVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-01",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"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"
},
"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 Catonsville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.