ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC
NPI 1104181247
Clinic/Center - Ambulatory Surgical in Monroe, LA

Q: What is Advanced Surgery Center Of Northern Louisiana LLC's specialty?

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

Active since July 04, 2012CLIA 19D2046779 · Waiver

1601 LOUISVILLE AVE, MONROE, LA 71201(318) 272-2214 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, Feb 25, 2025, Sep 18, 2024 (3 updates tracked since 2024).

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About Advanced Surgery Center Of Northern Louisiana Llc NPPES

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

ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC (NPI 1104181247) is a healthcare organization registered as an ambulatory surgical in Monroe, Louisiana and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through September 11, 2028 and lists Peter Blach, Authorize Offical, as its authorized official.

NPPES Registry Identity

NPI1104181247

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC

Location Address1601 LOUISVILLE AVEMonroe, LA 71201

Mailing Address1601 Louisville AveMonroe, LA 71201-6027 · (318) 998-5555

Phone(318) 272-2214

Organization SubpartNo

Authorized OfficialPeter BlachAuthorize Offical · (713) 343-0832

Enumeration DateJuly 4, 2012

Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1104181247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1601 LOUISVILLE AVE, Monroe, LA 71201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Surgery Center Of Northern Louisiana Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateLouisianaEnrollment IDO20121108000410Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 19D2046779

Advanced Surgery Center Of Northern Louisiana · Monroe, LA

Active · expires Sep 11, 2028

CLIA Number19D2046779

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 12, 2026

Certificate Expiration DateSeptember 11, 2028

Laboratory DirectorMartin E. Degravelle

Laboratory Phone(318) 998-5555

Laboratory LocationAdvanced Surgery Center Of Northern Louisiana1601 Louisville Ave, Monroe, LA 71201

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 27

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.

3,863 services35 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.

332 services289 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

229 services145 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.

145 services44 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

114 services107 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

81 services78 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

62 services33 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

54 services20 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.

50 services50 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

48 services41 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

41 services38 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

36 services27 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

34 services34 patients

Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479

This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.

26 services20 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

26 services26 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

23 services22 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

22 services22 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

21 services14 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

20 services19 patients

Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level 0627T

This procedure involves injecting cell or tissue-based material into a spinal disc in the lower back. It's done through the skin and aims to treat back pain or disc problems. It's a minimally invasive procedure, often performed under local anesthesia.

17 services12 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.

16 services16 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

15 services14 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

14 services11 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

14 services14 patients

Removal of connective tissue of palm and release of finger, first digit 26123

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

13 services13 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

11 services11 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

11 services11 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAROLD J BAYONNE JR MD APMC

Anesthesiology

1601 LOUISVILLE AVE
MONROE, LA 71201

Ouachita Parish (318) 998-5555

SOMMEIL ANESTHESIA INC

Anesthesiology

1601 LOUISVILLE AVE
MONROE, LA 71201

Ouachita Parish (318) 998-5555

LAG ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

1601 LOUISVILLE AVE
MONROE, LA 71201

Ouachita Parish (318) 998-5555

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 Advanced Surgery Center Of Northern Louisiana LLC's NPI number?

The NPI number for Advanced Surgery Center Of Northern Louisiana LLC is 1104181247. It was assigned to this organization in the NPPES registry on July 4, 2012.

Where is Advanced Surgery Center Of Northern Louisiana LLC located?

Advanced Surgery Center Of Northern Louisiana LLC is located at 1601 Louisville Ave, Monroe, LA 71201. The listed phone number is (318) 272-2214.

What is Advanced Surgery Center Of Northern Louisiana LLC's specialty?

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

Is Advanced Surgery Center Of Northern Louisiana LLC enrolled in Medicare?

Yes. Advanced Surgery Center Of Northern Louisiana LLC is registered in the Medicare PECOS enrollment system.

When is Advanced Surgery Center Of Northern Louisiana LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Advanced Surgery Center Of Northern Louisiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2046779) is associated with this NPI, valid through September 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Surgery Center Of Northern Louisiana LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), HMO Louisiana and UnitedHealthcare list Advanced Surgery Center Of Northern Louisiana LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Surgery Center Of Northern Louisiana LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

About Advanced Surgery Center Of Northern Louisiana Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Revalidation Due Date

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 19D2046779

Areas of Expertise CMS Part B claims 27

Other Providers at the Same Location NPPES 3

Frequently Asked Questions NPPES & CMS

What is Advanced Surgery Center Of Northern Louisiana LLC's NPI number?

Where is Advanced Surgery Center Of Northern Louisiana LLC located?

What is Advanced Surgery Center Of Northern Louisiana LLC's specialty?

Is Advanced Surgery Center Of Northern Louisiana LLC enrolled in Medicare?

When is Advanced Surgery Center Of Northern Louisiana LLC's Medicare revalidation due?

Does Advanced Surgery Center Of Northern Louisiana LLC hold a CLIA laboratory certificate?

What insurance does Advanced Surgery Center Of Northern Louisiana LLC accept?

When was this NPI record last updated?

Certificate of Waiver 19D2046779