Active NPI
Central Virginia Surgi-Center LP
- Ambulatory Surgical Clinic/Center
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OH 674
- Legal business name
- CENTRAL VIRGINIA SURGI-CENTER LP
- Practice address
- 1500 Dixon St
Ste 101, Mailbox 1
Fredericksburg, VA 22401-7231 - Phone
- (540) 371-5349
- Fax
- (540) 373-1745
- NPI assigned
- Aug 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Montgomery
- Title
- Officer/Ao
- Phone
- (615) 545-9132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OH 674 | VA | Primary |
Addresses
Primary practice location
1500 Dixon St
Ste 101, Mailbox 1
Fredericksburg, VA 22401-7231
Mailing address
1500 Dixon St Ste 101
Fredericksburg, VA 22401-7231
Phone (540) 371-5349
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 437844 | Other | VA | ALLIANCE PPO |
| 62413 | Other | VA | MAIL HANDLERS |
| P00148932 | Other | VA | RAILROAD MEDICARE |
| 34196 | Other | VA | APPEX BENEFIT SERVICE |
| 437844 | Other | VA | MAMSI |
| 437844 | Other | VA | MDIPA |
| 437844 | Other | VA | OPTIMUM CHOICE |
| 87726A | Other | VA | UNITED HEALTH CARE |
| 442252 | Other | VA | ANTHEM |
| 490005350 | Medicaid | VA | |
| 62413 | Other | VA | FIRST HEALTH |
| 95226 | Other | VA | HARRINGTON BENEFIT SERV |
| 007604050 | Medicaid | VA | |
| 1039920 | Other | VA | AETNA HMO |
| 8561085 | Other | VA | AETNA PPO |
Other names 1
- Surgi-Center of Central Virginia
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090615000214 | VA | Part B Supplier - Ambulatory Surgical Center | 7214087139 | Practice locations: Fredericksburg, VA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Central Virginia Surgi Center LP Dba Surgi Center of Central Virginia
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0970325 | Surgi Center of Central Virginia | Certificate of waiver | Feb 9, 2028 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1500 Dixon St
Ste 101
Fredericksburg, VA 22401
Phone (540) 371-5349
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Warrenton, VA
- NPI 1396839346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1154323988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DIXON ST STE 101",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224017231",
"telephone_number": "540-371-5349",
"fax_number": "540-373-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DIXON ST",
"address_2": "STE 101, MAILBOX 1",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224017231",
"telephone_number": "540-371-5349",
"fax_number": "540-373-1745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL VIRGINIA SURGI-CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-11",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OFFICER/AO",
"authorized_official_telephone_number": "615-545-9132"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "VA",
"license": "OH 674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE PPO",
"identifier": "437844",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAIL HANDLERS",
"identifier": "62413",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00148932",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPEX BENEFIT SERVICE",
"identifier": "34196",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "437844",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "437844",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "437844",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "87726A",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "442252",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490005350",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "62413",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARRINGTON BENEFIT SERV",
"identifier": "95226",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007604050",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1039920",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "8561085",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Surgi-Center of Central Virginia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fredericksburg, VA
- Central Virginia Internal Medicine, PLC
- Central Virginia Medicine PLLC
- Central Virginia OB-GYN Group, PC
- Central Virginia Orthopaedics & Sports Medicine
- Central Virginia Sleep Center, PLC
- Centre for Holistic Therapies
- Centre Pointe Health - Psychological Services
- Centre Pointe Health Specialties
- Centre Pointe Health- Psychiatric Services
- Karyn Cerar, LMT, BCMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.