ROANOKE AMBULATORY SURGERY CENTER LLC NPI 1013914985

NPI Information

  • NPI: 1013914985
  • Provider Name: ROANOKE AMBULATORY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 49D1015712
  • Address: 1102 S JEFFERSON ST
    ROANOKE, VA
    ZIP 24016
  • Phone: (540) 342-5800

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NPI Details

ROANOKE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Roanoke, VA. ROANOKE AMBULATORY SURGERY CENTER, LLC NPI is 1013914985. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1102 S JEFFERSON ST
ROANOKE, VA
ZIP 24016-704
Phone: (540) 342-5800

The provider's authorized official is Thomas K Miller .
The authorized official title is Medical Director and has the following contact phone number (540) 342-0707.

The CLIA number assigned to this NPI record is 49D1015712 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Transfer of tendon to back of hand (HCPCS:26480)
  • Harvest of graft from small bone (HCPCS:20900)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Correction of toe joint deformity (HCPCS:28285)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Correction of bunion (HCPCS:28292)
  • Injection of anesthetic agent and/or steroid into arm nerve bundle (HCPCS:64415)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Relocation of tendon of forearm and/or wrist (HCPCS:25310)

The enumeration date for this NPI number is 7/6/2005 and was last updated on 4/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalOH636VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1125459800OTHERVIRGINIADEPARTMENT OF LABOR ID NU
2010053919MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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