FAIRFAX SURGICAL CENTER, L.P.
NPI 1477516979
Clinic/Center - Ambulatory Surgical in Fairfax, VA

Active since April 07, 2006CLIA Certified · 2 labs
10730 MAIN ST, FAIRFAX, VA 22030(703) 691-0670(703) 385-2865 Get Directions Write a Review

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

About Fairfax Surgical Center, L.p. NPPES

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

FAIRFAX SURGICAL CENTER, L.P. (NPI 1477516979) is a healthcare organization registered as an ambulatory surgical in Fairfax, Virginia and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1477516979
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAIRFAX SURGICAL CENTER, L.P.
Location Address10730 MAIN STFairfax, VA 22030-3704
Mailing Address10730 Main StFairfax, VA 22030-3704 · (703) 691-0670 · Fax (703) 385-2865
Fax(703) 385-2865
Organization SubpartNo
Authorized OfficialDavid McknightVp/cfo · (972) 789-2816
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1477516979 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 · OH654
10730 MAIN ST, Fairfax, VA 22030

Other Identifiers 1

Medicaid7603827VA

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 49D2144636

Fairfax Surgical Center · Fairfax, VA
Active · expires May 6, 2027
CLIA Number49D2144636
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorDr. David E. Kardon
Laboratory Phone(703) 691-0670
Laboratory LocationFairfax Surgical Center10730 Main Street, Fairfax, VA 22030
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 49D0221831

Fairfax Surgical Center · Fairfax, VA
Active · expires Apr 25, 2027
CLIA Number49D0221831
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorAndrew Y. Kim
Laboratory Phone(703) 691-0670
Laboratory LocationFairfax Surgical Center10730 Main Street, Fairfax, VA 22030
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 20

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.

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.
1,679 services1,044 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
82 services79 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
68 services34 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
60 services55 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
57 services41 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
55 services31 patients

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
10730 MAIN ST
FAIRFAX, VA 22030
Podiatrist (Foot & Ankle Surgery)
10730 MAIN ST
FAIRFAX, VA 22030
Nurse Anesthetist, Certified Registered
10730 MAIN ST
FAIRFAX, VA 22030
Nurse Anesthetist, Certified Registered
10730 MAIN ST, FAIRFAX SURGICAL CENTER
FAIRFAX, VA 22030

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 Fairfax Surgical Center, L.P.'s NPI number?

The NPI number for Fairfax Surgical Center, L.P. is 1477516979. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Fairfax Surgical Center, L.P. located?

Fairfax Surgical Center, L.P. is located at 10730 Main St, Fairfax, VA 22030. The listed phone number is (703) 691-0670.

What is Fairfax Surgical Center, L.P.'s specialty?

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

Does Fairfax Surgical Center, L.P. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fairfax Surgical Center, L.P. 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 2 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.