Mary Immaculate Ambulatory Surgery Center LLC
NPI 1346270329 · Ambulatory Surgical Clinic/Center · Newport News, VA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Immaculate Ambulatory Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Newport News, VA (NPI 1346270329).
Provider details
- NPI number
- 1346270329
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristen Oconnor, Authorized Official(615) 376-7315
- License
- OH686 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
204 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Correction of Toe Joint Deformity28285 | 60 | $874 |
| Imaging Guidance for Procedure, 60 Minutes Or Less76000 | 55 | $29 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 33 | $2,758 |
| Removal of Knee Cartilage Using an Endoscope29881 | 17 | $1,398 |
| Fusion of Big Toe at Joint With Foot28750 | 16 | $3,877 |
| Limited Removal of Abnormal Shoulder Joint Tissue Using Endoscope29822 | 12 | $1,398 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Frequently asked questions
- What is Mary Immaculate Ambulatory Surgery Center LLC's NPI number?
- Mary Immaculate Ambulatory Surgery Center LLC's National Provider Identifier (NPI) is 1346270329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Immaculate Ambulatory Surgery Center LLC?
- Mary Immaculate Ambulatory Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mary Immaculate Ambulatory Surgery Center LLC located?
- Mary Immaculate Ambulatory Surgery Center LLC's practice location on file with NPPES is 12720 Mcmanus Blvd, Newport News, VA 23602-4441.
- What is Mary Immaculate Ambulatory Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Immaculate Ambulatory Surgery Center LLC is (757) 369-7000.
- Does Mary Immaculate Ambulatory Surgery Center LLC accept Medicare?
- Mary Immaculate Ambulatory Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary Immaculate Ambulatory Surgery Center LLC?
- The authorized official listed on Mary Immaculate Ambulatory Surgery Center LLC's NPPES record is Kristen Oconnor, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Immaculate Ambulatory Surgery Center LLC's NPI active?
- Yes — Mary Immaculate Ambulatory Surgery Center LLC's NPI (1346270329) is active in the NPPES registry as of the last update on 2024-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.