NPIMap

Organization Active NPI

University of Maryland Surgical Associates, PA

  • Specialist
  • Baltimore, MD
National Provider Identifier
1962417634
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Practice address
419 W Redwood St
Baltimore, MD 21201-1734
Phone
(667) 214-1718
Fax
(410) 328-5147
NPI assigned
Jul 30, 2006
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Dr. Christine Lynn Lau, M.D.NPI 1205842481
Title
Department Chairman
Phone
(410) 328-6019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

419 W Redwood St
Baltimore, MD 21201-1734

Mailing address

PO Box 64226
Baltimore, MD 21264-4226
Phone (410) 328-5191

Other identifiers 1

IdentifierTypeStateIssuer
914651200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040621000583 MD Part B Supplier - Clinic/Group Practice 1658262472 Receives reassigned benefits from 213 practitioners
Practice locations: Waldorf, MD; Salisbury, MD; Hagerstown, MD; Elkten, MD; Cumberland, MD; Chestertain, MD; Berlin, MD; Baltimore, MD…
O20050214000524 PA Part B Supplier - Clinic/Group Practice 1658262472 Receives reassigned benefits from 5 practitioners
Practice locations: Hanover, PA; York, PA
O20150909002640 DC Part B Supplier - Clinic/Group Practice 1658262472 Receives reassigned benefits from 67 practitioners
Practice locations: Upper Marlboro, MD; Silver Spring, MD; Laurel, MD; Largo, MD; Cheverly, MD; Brandywine, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

11 S Paca St
Fl 3
Baltimore, MD 21201
Phone (410) 328-4080

110 S Paca St
Fl 6
Baltimore, MD 21201
Phone (667) 214-2054

405 W Redwood St
Fl 5
Baltimore, MD 21201
Phone (410) 528-5710

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

901 Harry S Truman Dr N
Fl Obs
Largo, MD 20774

11340 Pembrooke Sq
Ste 202
Waldorf, MD 20603
Phone (301) 374-9725

1328 River Ave
Ste 16
Lakewood, NJ 08701
Phone (732) 730-2222

1077D N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-6900

Practitioners & affiliated clinicians

Practitioners 242

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.

View all 242

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1962417634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644226",
            "telephone_number": "410-328-5191",
            "fax_number": "410-328-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "667-214-1718",
            "fax_number": "410-328-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DEPARTMENT CHAIRMAN",
        "authorized_official_telephone_number": "410-328-6019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914651200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.