Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROANOKE SURGERY CENTER, LP
NPI 1205869211
Clinic/Center - Ambulatory Surgical in Salem, VA

Active since July 10, 2006CLIA 49D0669277 · Waiver
1802 BRAEBURN DR, SALEM, VA 24153(540) 725-4533(540) 725-4543 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roanoke Surgery Center, Lp NPPES

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

ROANOKE SURGERY CENTER, LP (NPI 1205869211), doing business as Blue Ridge Surgery Center, is a healthcare organization registered as an ambulatory surgical in Salem, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1205869211
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROANOKE SURGERY CENTER, LP
Location Address1802 BRAEBURN DRSalem, VA 24153-7357
Mailing Address1802 Braeburn DrSalem, VA 24153-7357 · (540) 725-4533 · Fax (540) 725-4543
Fax(540) 725-4543
Organization SubpartNo
Authorized OfficialDavid McknightVp/cfo · (972) 789-2816
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1205869211 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 · OH697
1802 BRAEBURN DR, Salem, VA 24153

Other Names 1

Doing Business AsBlue Ridge Surgery Center

Other Identifiers 1

Medicaid010276039VA

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 49D0669277

Roanoke Surgery Center, LP Dba Blue Ridge Surgery Center · Salem, VA
Active · expires Aug 31, 2026
CLIA Number49D0669277
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Gajan Mahendiran
Laboratory Phone(540) 772-3601
Laboratory LocationRoanoke Surgery Center, LP Dba Blue Ridge Surgery Center1802 Braeburn Drive, Salem, VA 24153
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 36

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.
4,410 services18 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
742 services740 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
456 services284 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
361 services360 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
265 services263 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
134 services134 patients

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
1802 BRAEBURN DR
SALEM, VA 24153
Dermatology
1802 BRAEBURN DR
SALEM, VA 24153
Nurse Practitioner (Family)
1802 BRAEBURN DR
SALEM, VA 24153
Nurse Practitioner (Pediatrics)
1802 BRAEBURN DR
SALEM, VA 24153
Nurse Practitioner
1802 BRAEBURN DR
SALEM, VA 24153
Ophthalmology
1802 BRAEBURN DR
SALEM, VA 24153
Surgery
1802 BRAEBURN DR
SALEM, VA 24153
Physician Assistant
1802 BRAEBURN DR
SALEM, VA 24153

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 Surgery Center, LP's NPI number?

The NPI number for Roanoke Surgery Center, LP is 1205869211. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Blue Ridge Surgery Center.

Where is Roanoke Surgery Center, LP located?

Roanoke Surgery Center, LP is located at 1802 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 725-4533.

What is Roanoke Surgery Center, LP's specialty?

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

Does Roanoke Surgery Center, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0669277) is associated with this NPI, valid through August 31, 2026. 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 Surgery Center, LP was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.