PRINCE WILLIAM SURGERY CENTER
NPI 1528077658
Clinic/Center - Ambulatory Surgical in Manassas, VA

NPI Status: Active since August 07, 2006

Contact Information

8644 SUDLEY RD
SUITE 201
MANASSAS, VA
ZIP 20110
Phone: (703) 369-8525
Fax: (571) 229-1533

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 49D1041169
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-24-2027

About PRINCE WILLIAM SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Prince William Surgery Center, a provider established in Manassas, Virginia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1528077658 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number OH695 (VA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Prince William Surgery Center. The authorized official of this NPI record is Kristen O'connor (Officer / Authorized Official)

NPI
1528077658
Provider Legal Name
PRINCE WILLIAM AMBULATORY SURGERY CENTER, LLC
Other Organization Name
PRINCE WILLIAM SURGERY CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
8644 SUDLEY RD SUITE 201 MANASSAS, VA 20110
Location Phone
(703) 369-8525
Location Fax
(571) 229-1533
Mailing Address
8644 SUDLEY RD SUITE 201 MANASSAS, VA 20110
Mailing Phone
(703) 369-8525
Mailing Fax
(571) 229-1533
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2006
Last Update Date
10-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
OH695
License State
VA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTEN O'CONNOR

Authorized Official Title
OFFICER / AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 376-7315

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2579620OTHER (01)UHC
9731258OTHER (01)CIGNA
2142411OTHER (01)MDIPA/OPTIMUM CHOICE
010274656MEDICAID (05)VA 
186080OTHER (01)ANTHEM HEALTHKEEPERS
186080OTHER (01)VAANTHEM
2142411OTHER (01)MAMSI/UHC

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 26 times for 24 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 426 times for 414 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 639 times for 638 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 188 times for 186 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 129 times for 129 patients

Complex removal of cataract with insertion of prosthetic lens

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.

This service was performed 21 times for 18 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 31 times for 30 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 62 times for 62 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 26 times for 26 patients

Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy

This is a test where a small device is passed through your mouth to check the health of your esophagus. It uses electrical signals to assess the esophagus lining. It may be done along with an esophagoscopy, a procedure to examine your upper digestive system.

This service was performed 32 times for 32 patients

Imaging guidance for procedure, 60 minutes or less

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.

This service was performed 24 times for 23 patients

Incision of tendon covering of finger

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.

This service was performed 13 times for 11 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 25 times for 25 patients

Injection, bupivacaine liposome, 1 mg

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.

This service was performed 2,660 times for 19 patients

Insertion of spinal neurostimulator generator or receiver

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

This service was performed 13 times for 13 patients

Partial removal of breast

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

This service was performed 22 times for 21 patients

Release and/or relocation of hand nerve

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.

This service was performed 16 times for 15 patients

Removal of cataract with insertion of prosthetic lens

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.

This service was performed 341 times for 233 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 422 times for 421 patients

Repair of shoulder rotator cuff using an endoscope

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.

This service was performed 12 times for 12 patients

Shock wave crushing of kidney stones

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

This service was performed 17 times for 15 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D1041169
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 25, 2025
Certificate Expiration Date
May 24, 2027
Laboratory Director
MURPHY KEELY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prince William Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528077658, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 0 + 7 + 1 + 4 + 6 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1528077658.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Audiologist
8644 SUDLEY RD, SUITE 114
MANASSAS, VA 20110
Pharmacist
8644 SUDLEY RD, SUITE 120
MANASSAS, VA 20110
Physical Therapist
8644 SUDLEY RD, SUITE 310
MANASSAS, VA 20110
Physical Therapist
8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110
Counselor (Professional)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Pharmacy (Community/Retail Pharmacy)
8644 SUDLEY RD, SUITE 120
MANASSAS, VA 20110
Counselor (Professional)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Pain Medicine (Interventional Pain Medicine)
8644 SUDLEY RD, STE 117
MANASSAS, VA 20110
Orthopaedic Surgery
8644 SUDLEY RD, STE 308
MANASSAS, VA 20110
Orthopaedic Surgery (Sports Medicine)
8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110
Orthopaedic Surgery (Sports Medicine)
8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110
Psychiatry & Neurology (Psychiatry)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Physical Medicine & Rehabilitation (Pain Medicine)
8644 SUDLEY RD, SUITE 117
MANASSAS, VA 20110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528077658, enumerated as an "organization" on August 07, 2006.

The provider is located at 8644 SUDLEY RD SUITE 201 MANASSAS, VA 20110 and the phone number is (703) 369-8525.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid, Cigna and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.