Active NPI
West Creek Endoscopy LLC
- Ambulatory Surgical Clinic/Center
- Henrico, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WEST CREEK ENDOSCOPY LLC
- Practice address
- 1600 Wilkes Ridge Dr Ste 100
Henrico, VA 23233 - Phone
- (703) 563-0042
- NPI assigned
- Jul 31, 2023
- Last updated
- Jun 3, 2025
- 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
- Cheryl Miller
- Title
- Administrator
- Phone
- (804) 354-8818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1600 Wilkes Ridge Dr Ste 100
Henrico, VA 23233
Mailing address
1600 Wilkes Ridge Dr
Suite 100
Henrico, VA 23233-7964
Phone (703) 563-0042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241031004481 | VA | Part B Supplier - Ambulatory Surgical Center | 3779016571 | Practice locations: Henrico, VA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972284941. Details of each certification follow.
Ambulatory surgical center certification: CCN 49C0001111
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- WEST CREEK ENDOSCOPY LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 6, 2025
- Last certification
- Feb 6, 2025
- Ownership / control type
- Proprietary
- Facility address
- 1600 Wilkes Ridge Dr Ste 100
Henrico, VA 23233
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 |
|---|---|---|---|
| 49D2304989 | West Creek Endoscopy | Certificate of waiver | May 21, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- North Chesterfield, VA
- NPI 1952744153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1972284941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 WILKES RIDGE DR",
"address_2": "SUITE 100",
"city": "HENRICO",
"state": "VA",
"postal_code": "232337964",
"telephone_number": "703-563-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WILKES RIDGE DR STE 100",
"city": "HENRICO",
"state": "VA",
"postal_code": "23233",
"telephone_number": "703-563-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CREEK ENDOSCOPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "804-354-8818"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.