SENTARA OBICI AMBULATORY SURGERY, LLC
NPI 1811101439
Clinic/Center - Ambulatory Surgical in Suffolk, VA

Q: What is Sentara Obici Ambulatory Surgery, LLC's specialty?

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

Active since May 10, 2007CLIA 49D1080657 · Waiver

2750 GODWIN BLVD, SUFFOLK, VA 23434(757) 983-2000 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sentara Obici Ambulatory Surgery, Llc NPPES

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

SENTARA OBICI AMBULATORY SURGERY, LLC (NPI 1811101439) is a healthcare organization registered as an ambulatory surgical in Suffolk, Virginia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Donna A Hertzler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811101439

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSENTARA OBICI AMBULATORY SURGERY, LLC

Location Address2750 GODWIN BLVDSuffolk, VA 23434-8151

Mailing Address2750 Godwin Blvd.Suffolk, VA 23434-8151 · (757) 983-2000 · Fax (757) 983-2001

Phone(757) 983-2000

Organization SubpartNo

Authorized OfficialDonna A HertzlerAdministrator · (757) 983-2009

Enumeration DateMay 10, 2007

Last NPPES UpdateApril 22, 2008

✔ NPI 1811101439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2750 GODWIN BLVD, Suffolk, VA 23434

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Other Identifiers 2

Medicare PIN192949776VA

Medicaid1811101439VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sentara Obici Ambulatory Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sentara Obici Ambulatory Surgery, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Walters, DPM

Podiatry

NPI 1831450436

150 BURNETTS WAY STE 100
Suffolk, VA 23434

(757) 547-5145

✔ PECOS✔ Accepts Medicare0.1 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 49D1080657

Sentara Obici Ambulatory Surgery, LLC · Suffolk, VA

Active · expires Feb 26, 2028

CLIA Number49D1080657

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 27, 2026

Certificate Expiration DateFebruary 26, 2028

Laboratory DirectorGregory M. Weiss

Laboratory Phone(757) 983-2012

Laboratory LocationSentara Obici Ambulatory Surgery, LLC2750 Godwin Boulevard, Suffolk, VA 23434

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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.

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.

1,660 services237 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

1,574 services228 patients

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.

406 services229 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

62 services34 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

55 services34 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

41 services36 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.

39 services31 patients

Release and/or relocation of hand nerve 64721

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.

32 services27 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

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.

26 services26 patients

Incision of tendon covering of finger 26055

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.

24 services18 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

21 services12 patients

Removal of spine bone for insertion of neurostimulator electrode plate in spine 63655

This procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.

20 services20 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.

19 services15 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

18 services18 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device 25609

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

14 services14 patients

Repair of shoulder rotator cuff using an endoscope 29827

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.

14 services14 patients

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 Sentara Obici Ambulatory Surgery, LLC's NPI number?

The NPI number for Sentara Obici Ambulatory Surgery, LLC is 1811101439. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Sentara Obici Ambulatory Surgery, LLC located?

Sentara Obici Ambulatory Surgery, LLC is located at 2750 Godwin Blvd, Suffolk, VA 23434. The listed phone number is (757) 983-2000.

What is Sentara Obici Ambulatory Surgery, LLC's specialty?

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

Is Sentara Obici Ambulatory Surgery, LLC enrolled in Medicare?

Yes. Sentara Obici Ambulatory Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sentara Obici Ambulatory Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Sentara Obici Ambulatory Surgery, 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 Sentara Obici Ambulatory Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1080657) is associated with this NPI, valid through February 26, 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 Sentara Obici Ambulatory Surgery, LLC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.