ROANOKE AMBULATORY SURGERY CENTER, LLC
NPI 1013914985
Clinic/Center - Ambulatory Surgical in Roanoke, VA

Active since July 06, 2005CLIA 49D1015712 · Waiver
1102 S JEFFERSON ST, ROANOKE, VA 24016(540) 342-5800 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roanoke Ambulatory Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROANOKE AMBULATORY SURGERY CENTER, LLC (NPI 1013914985), doing business as Roanoke Ambulatory Surgery Center, is a healthcare organization registered as an ambulatory surgical in Roanoke, Virginia and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Thomas K Miller, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013914985
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROANOKE AMBULATORY SURGERY CENTER, LLC
Location Address1102 S JEFFERSON STRoanoke, VA 24016-4704
Mailing Address1102 S Jefferson StRoanoke, VA 24016-4704 · (540) 342-5800
Organization SubpartNo
Authorized OfficialThomas K MillerMedical Director · (540) 342-0707
Enumeration DateJuly 6, 2005
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
NPI 1013914985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in VA · OH636
1102 S JEFFERSON ST, Roanoke, VA 24016

Other Names 1

Doing Business AsRoanoke Ambulatory Surgery Center

Other Identifiers 2

Other125459800VA · Department Of Labor Id Nu
Medicaid010053919VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1015712

Roanoke Ambulatory Surgery Center · Roanoke, VA
Active · expires Aug 11, 2027
CLIA Number49D1015712
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorBecky J. Caldwell
Laboratory Phone(540) 342-0707
Laboratory LocationRoanoke Ambulatory Surgery Center1102 Jefferson Street, SE, Roanoke, VA 24016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
276 services11 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
99 services99 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
96 services35 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
54 services54 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
45 services45 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
38 services38 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roanoke Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Roanoke Ambulatory Surgery Center, LLC is 1013914985. It was assigned to this organization in the NPPES registry on July 6, 2005. The provider is doing business as Roanoke Ambulatory Surgery Center.

Where is Roanoke Ambulatory Surgery Center, LLC located?

Roanoke Ambulatory Surgery Center, LLC is located at 1102 S Jefferson St, Roanoke, VA 24016. The listed phone number is (540) 342-5800.

What is Roanoke Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Roanoke Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1015712) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roanoke Ambulatory Surgery Center, LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.