ENDOSCOPY CENTER OF SOUTHWEST VIRGINIA LLC
NPI 1326084740
Clinic/Center - Ambulatory Surgical in Roanoke, VA

Active since June 22, 2006CLIA 49D1049655 · Waiver
204 DUKE OF GLOUCHESTER ST, ROANOKE, VA 24014(540) 344-1264(540) 345-4179 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Endoscopy Center Of Southwest Virginia Llc NPPES

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

ENDOSCOPY CENTER OF SOUTHWEST VIRGINIA LLC (NPI 1326084740) is a healthcare organization registered as an ambulatory surgical in Roanoke, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Diane Lynn Allison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326084740
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDOSCOPY CENTER OF SOUTHWEST VIRGINIA LLC
Location Address204 DUKE OF GLOUCHESTER STRoanoke, VA 24014
Mailing Address204 Duke Of Glouchester StRoanoke, VA 24014 · (540) 344-1264 · Fax (540) 345-4179
Fax(540) 345-4179
Organization SubpartNo
Authorized OfficialDiane Lynn AllisonAdministrator · (540) 510-3324
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1326084740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
204 DUKE OF GLOUCHESTER ST, Roanoke, VA 24014

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endoscopy Center Of Southwest Virginia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Endoscopy Center Of Southwest Virginia LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1649364381
202 DUKE OF GLOUCESTER ST SW C/O ALICE SERES
Roanoke, VA 24014
(540) 345-4900
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548212319
202 DUKE OF GLOUCHESTER ST
Roanoke, VA 24014
(540) 345-4900
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1013120997
3 RIVERSIDE CIR
Roanoke, VA 24016
(540) 224-5170
✔ PECOS✔ Accepts Medicare2.4 mi
Gastroenterology
NPI 1932129566
3 RIVERSIDE CIR
Roanoke, VA 24016
(540) 224-5170
✔ PECOS✔ Accepts Medicare2.4 mi
Gastroenterology
NPI 1154661288
3 RIVERSIDE CIR
Roanoke, VA 24016
(540) 224-5170
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49D1049655

Endoscopy Center Of Southwest Virginia · Roanoke, VA
Active · expires Jan 11, 2028
CLIA Number49D1049655
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorNirish S. Shah
Laboratory Phone(540) 344-1264
Laboratory LocationEndoscopy Center Of Southwest Virginia204 Duke Of Glouchester Street, Roanoke, VA 24014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Endoscopy Center Of Southwest Virginia LLC's NPI number?

The NPI number for Endoscopy Center Of Southwest Virginia LLC is 1326084740. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Endoscopy Center Of Southwest Virginia LLC located?

Endoscopy Center Of Southwest Virginia LLC is located at 204 Duke Of Glouchester St, Roanoke, VA 24014. The listed phone number is (540) 344-1264.

What is Endoscopy Center Of Southwest Virginia LLC's specialty?

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

Is Endoscopy Center Of Southwest Virginia LLC enrolled in Medicare?

Yes. Endoscopy Center Of Southwest Virginia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endoscopy Center Of Southwest Virginia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Endoscopy Center Of Southwest Virginia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Gastroenterology (3) and Internal Medicine (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Endoscopy Center Of Southwest Virginia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1049655) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Endoscopy Center Of Southwest Virginia LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.