Roanoke Ambulatory Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1013914985

Roanoke Ambulatory Surgery Center is a healthcare provider. based in Roanoke, Virginia. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. OH636 (VA). The NPI Number for Roanoke Ambulatory Surgery Center is 1013914985

Main info

Organization
Name
Roanoke Ambulatory Surgery Center
NPI
1013914985
Phone
(540) 342-5800
Address
1102 S JEFFERSON ST
Authorized Official
THOMAS K MILLER MEDICAL DIRECTOR M.D.
Enumeration Date
6 July 2005
Last Update Date
8 April 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Roanoke Ambulatory Surgery Center

  • 1102, South Jefferson Street, Cedar Bluff, Roanoke, Roanoke (city), Virginia, 24016, United States

    ROANOKE, VA 240164704

    Phone: (540) 342-5800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (773 days ago).

Enrollment records

1

Earliest due date

2024-04-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040302000495OAmbulatory Surgical CenterVA2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
29827Repair of shoulder rotator cuff using an endoscope119118$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level10139$0
29828Release of tendon connecting biceps muscle and shoulder using an endoscope5959$0
29823Removal of extensive shoulder joint tissue using an endoscope4747$0
29824Partial removal of collar bone at shoulder using an endoscope3737$0
View full utilization report →

Insurance plans in this area (ZIP 24016)

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Reviews

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Frequently asked questions

Where can patients find Roanoke Ambulatory Surgery Center's NPI?
You can confirm Roanoke Ambulatory Surgery Center with NPI 1013914985; it appears in the national provider directory.
Is Roanoke Ambulatory Surgery Center's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Roanoke Ambulatory Surgery Center work in?
You can think of Roanoke Ambulatory Surgery Center as practicing within Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Does Roanoke Ambulatory Surgery Center practice in Virginia?
You will see Roanoke, Virginia on file for Roanoke Ambulatory Surgery Center alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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