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LEGACY SURGERY CENTER
NPI 1396077582
Clinic/Center - Ambulatory Surgical in Lyndhurst, OH

Active since February 12, 2010CLIA 36D1104951 · Waiver
5035 MAYFIELD RD, SUIITE # 100, LYNDHURST, OH 44124(216) 923-0666(216) 432-1136 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Legacy Surgery Center NPPES

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

LEGACY SURGERY CENTER (NPI 1396077582) is a healthcare organization registered as an ambulatory surgical in Lyndhurst, Ohio and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Rodney A. Green, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1396077582
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHILLTOP AMBULATORY SURGERY CENTER LLC
Location Address5035 MAYFIELD RD, SUIITE # 100Lyndhurst, OH 44124-2688
Mailing Address5035 Mayfield Rd, Suite # 100Lyndhurst, OH 44124-2688 · (216) 923-0666 · Fax (216) 432-1136
Phone(216) 923-0666
Fax(216) 432-1136
Organization SubpartNo
Authorized OfficialRodney A. GreenMedical Director · (440) 449-8880
Enumeration DateFebruary 12, 2010
Last NPPES UpdateMay 17, 2017
✔ NPI 1396077582 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 OH · 0965AS
5035 MAYFIELD RD, Lyndhurst, OH 44124
Open in Google Maps ↗

Other Names 1

Doing Business AsLegacy Surgery Center

Other Identifiers 1

Medicaid0062559OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Legacy Surgery Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Emily Perry, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518439751
525 E MARKET ST
Akron, OH 44304
(330) 375-3000
✔ Accepts Medicare30 mi
Erica Groom, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255768321
4031 MASSILLON RD
Uniontown, OH 44685
(330) 899-1500
✔ Accepts Medicare39 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 36D1104951

Legacy Surgery Center · Lyndhurst, OH
Active · expires Sep 13, 2027
CLIA Number36D1104951
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorRodney Green
Laboratory Phone(216) 923-0666
Laboratory LocationLegacy Surgery Center5035 Mayfield Road Suite 100, Lyndhurst, OH 44124
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 Hilltop Ambulatory Surgery Center LLC's NPI number?

The NPI number for Hilltop Ambulatory Surgery Center LLC is 1396077582. It was assigned to this organization in the NPPES registry on February 12, 2010. The provider is doing business as Legacy Surgery Center.

Where is Hilltop Ambulatory Surgery Center LLC located?

Hilltop Ambulatory Surgery Center LLC is located at 5035 Mayfield Rd Suiite # 100, Lyndhurst, OH 44124. The listed phone number is (216) 923-0666.

What is Hilltop Ambulatory Surgery Center LLC's specialty?

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

Is Hilltop Ambulatory Surgery Center LLC enrolled in Medicare?

Yes. Hilltop Ambulatory Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hilltop Ambulatory Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Hilltop Ambulatory Surgery Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hilltop Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1104951) is associated with this NPI, valid through September 13, 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 Hilltop Ambulatory Surgery Center LLC was last updated on May 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.