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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Ambulatory surgical center

Listed as
Virginia Surgery Center LLC CCN 49C0001042
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1039194Virginia Surgery Center
200 Corporate Boulevard, Norfolk, VA 23502
Certificate of waiverApr 6, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2026.

{
    "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"
        }
    ]
}

Other providers in Norfolk, VA

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Sources for this page

Verify at the official NPI Registry.