Active NPI
Lakeview Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Madreperla, MD, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- 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 |
|---|---|---|---|
| 21D2135313 | Lakeview Surgery Center LLC | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Retina Specialist (Ophthalmology) Physician
- Union, NJ
- NPI 1013925254
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.