Virginia Surgery Center, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Norfolk, VA
NPI 1366496143 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1366496143
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- OH699 (VA)
- Legal business name
- VIRGINIA SURGERY CENTER, LLC
- Practice address
- 200 Corporate Blvd
Norfolk, VA 23502-4900 - Phone
- (757) 965-4205
- Fax
- (757) 961-2974
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Joseph Pravoot Gira
- Title
- Cmo
- Phone
- (314) 909-0633
Practitioners 3
-
Cecil V Gandia, PA
-
Jacey B Maule, PA-C
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Virginia Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1039194 | Virginia Surgery Center | Certificate of waiver | Apr 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060522000085 | VA | Part B Supplier - Ambulatory Surgical Center | 2062423411 | Practice locations: Norfolk, VA |
National Provider Directory
Locations
4445 Lake Forest Dr
Ste 600
Blue Ash, OH 45242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OH699 | VA | Yes |
Addresses
Primary practice location
200 Corporate Blvd
Norfolk, VA 23502-4900
Mailing address
15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 200-4393
Other names
- CVP Surgery Center
NPI Registry JSON
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1366496143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD STE 210",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "636-200-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024900",
"telephone_number": "757-965-4205",
"fax_number": "757-961-2974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "GIRA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "PRAVOOT",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "314-909-0633"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "VA",
"license": "OH699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVP Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Norfolk, VA · Ambulatory Surgical Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.