Vcu Health Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VCU HEALTH AMBULATORY SURGERY CENTER, LLC

Practice address

11958 W Broad St FL 5
Henrico, VA 23233-1007

Phone

(804) 364-6640

NPI assigned

Apr 28, 2021

Last updated

Nov 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Siegel

Title

Chief Financial Officer

Phone

(804) 628-1624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Vcu Health Ambulatory Surgery Center LLCCCN 49C0001078

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Vcu Health Ambulatory Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vcu Health Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Chesterfield, VA
  • NPI 1396699542
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Virginia Commonwealth University Health System Authority

  • Psychiatric Hospital Unit
  • Richmond, VA
  • NPI 1750466363

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vcu Health Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Chesterfield, VA
  • NPI 1396699542
  NPPES parent name

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1659953636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 E PARHAM RD FL 3",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 W BROAD ST FL 5",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331007",
            "telephone_number": "804-364-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCU HEALTH AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "804-628-1624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular Surgery Associates of Richmond, PC
• Roberta Vassell
• Gabriella Vassil, M.S. CCC-SLP
• Cassidy Morgan Vaughan, CF-SLP
• Ryan Vazales, DPM
• Portia Vega, NP-C
• David Velasquez, M.D.
• Kendra Lee Vendetti, M.A.
• Niti Verma
• Vesely Physical Therapy LLC

• Ambulatory Surgical Clinic/Center in Henrico, VA
• Providers in Henrico, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.