AMBULATORY SURGERY CENTER
NPI 1639142706
Clinic/Center - Ambulatory Surgical in Paducah, KY
About Ambulatory Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBULATORY SURGERY CENTER (NPI 1639142706) is a healthcare organization registered as an ambulatory surgical in Paducah, Kentucky and active in the NPI registry since February 2006. The organization lists Laxmaiah Manchikanti, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ambulatory Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ambulatory Surgery Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
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 Ambulatory Surgery Center LLC's NPI number?
The NPI number for Ambulatory Surgery Center LLC is 1639142706. It was assigned to this organization in the NPPES registry on February 9, 2006. The provider is doing business as Ambulatory Surgery Center.
Where is Ambulatory Surgery Center LLC located?
Ambulatory Surgery Center LLC is located at 2831 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 554-8373.
What is 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 Ambulatory Surgery Center LLC enrolled in Medicare?
Yes. Ambulatory Surgery Center LLC is registered in the Medicare PECOS enrollment system.
When is Ambulatory Surgery Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Ambulatory Surgical Center) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ambulatory Surgery Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pain Management, reassign their Medicare billing to 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ambulatory Surgery Center LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Ambulatory Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ambulatory Surgery Center LLC was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Ambulatory Surgery Center · NPI 1639142706
Ambulatory Surgical organization in Paducah, Kentucky. Organization record, active in the CMS NPPES registry since February 9, 2006.
## Identity
- **NPI:** 1639142706 (Entity type: Organization)
- **Enumerated:** February 9, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Ambulatory Surgery Center Llc
- **Organization subpart:** No
- **Authorized official:** Laxmaiah Manchikanti, MEDICAL DIRECTOR
## Practice location
- **Address:** 2831 LONE OAK RD, Paducah, KY 42003-8041
- **Phone:** (270) 554-8373 · **Fax:** (270) 554-8987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Kentucky, Ambulatory Surgical Center) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Pain Management) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2011
- **Other identifiers:** Medicare ID-Type Unspecified ASC5178 (KS); Medicare PIN 490005177 (KY); Medicaid 36000909 (KY); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1639142706) · Data from the CMS NPPES public registry.