Organization Active NPI

Lakeview Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bowie, MD
National Provider Identifier
1629429410
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAKEVIEW SURGERY CENTER LLC
Practice address
17001 Science Dr
Suite 114
Bowie, MD 20715-4329
Phone
(301) 860-1090
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Madreperla, MD, PHDNPI 1013925254
Title
President and Ceo
Phone
(908) 458-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

17001 Science Dr
Suite 114
Bowie, MD 20715-4329

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629002796 DC Part B Supplier - Ambulatory Surgical Center 9335418656 Practice locations: Bowie, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lakeview Surgery CenterCCN 21C0001599
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2135313Lakeview Surgery Center LLC17001 Science Drive Suite 114, Bowie, MD 20715Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Locations

17001 Science Dr
Bowie, MD 20715
Phone (202) 277-6460

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1629429410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 SCIENCE DR",
            "address_2": "SUITE 114",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154329",
            "telephone_number": "301-860-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "908-458-8333",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.

Verify at the official NPI Registry.