Organization Active NPI

Kuresmart Pain Management Surgery Center-Columbia LLC

Doing business as Clearway Surgery Center of Columbia

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
National Provider Identifier
1871052712
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KURESMART PAIN MANAGEMENT SURGERY CENTER-COLUMBIA LLC
Doing business as
Clearway Surgery Center of Columbia
Practice address
5500 Knoll North Dr Ste 501
Columbia, MD 21045-2370
Phone
(443) 693-7246
NPI assigned
Mar 19, 2019
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Britni Cullen
Title
Sr. Vice President
Phone
(443) 837-9913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

5500 Knoll North Dr Ste 501
Columbia, MD 21045-2370

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096

Other names 1

  • Clearway Surgery Center of Columbia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618000192 MD Part B Supplier - Ambulatory Surgical Center 1850624206 Practice locations: Columbia, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Clearway Surgery Center of ColumbiaCCN 21C0001625
Medicare certification status
ActiveFrom the Provider of Services file

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
21D2165394Clearway Surgery Center of Columbia5500 Knoll North Dr #501, Columbia, MD 21045Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Locations

5500 Knoll North Dr
#501
Columbia, MD 21045

5500 Knoll North Dr
Ste 501
Columbia, MD 21045
Phone (833) 301-7246

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1871052712",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR STE 501",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452370",
            "telephone_number": "443-693-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURESMART PAIN MANAGEMENT SURGERY CENTER-COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "BRITNI",
        "authorized_official_title_or_position": "SR.  VICE PRESIDENT",
        "authorized_official_telephone_number": "443-837-9913"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearway Surgery Center of Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.

Verify at the official NPI Registry.