Prospect Blackstone Valley Surgicare, LLC
NPI 1457898215 · Ambulatory Surgical Clinic/Center · Johnston, RI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prospect Blackstone Valley Surgicare, LLC is a Ambulatory Surgical Clinic/Center organization in Johnston, RI (NPI 1457898215).
Provider details
- NPI number
- 1457898215
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Elders, Secretary(310) 943-4500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Blackstone Valley Surgicare
- Other name
- Blackstone Valley Surgicare
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2021-01-15
- Certified
- 2021-01-15
Frequently asked questions
- What is Prospect Blackstone Valley Surgicare, LLC's NPI number?
- Prospect Blackstone Valley Surgicare, LLC's National Provider Identifier (NPI) is 1457898215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prospect Blackstone Valley Surgicare, LLC?
- Prospect Blackstone Valley Surgicare, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prospect Blackstone Valley Surgicare, LLC located?
- Prospect Blackstone Valley Surgicare, LLC's practice location on file with NPPES is 1526 Atwood Ave, Johnston, RI 02919-3289.
- What is Prospect Blackstone Valley Surgicare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prospect Blackstone Valley Surgicare, LLC is (401) 459-3800.
- Does Prospect Blackstone Valley Surgicare, LLC accept Medicare?
- Prospect Blackstone Valley Surgicare, 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 Prospect Blackstone Valley Surgicare, LLC?
- The authorized official listed on Prospect Blackstone Valley Surgicare, LLC's NPPES record is Robert Elders, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prospect Blackstone Valley Surgicare, LLC's NPI active?
- Yes — Prospect Blackstone Valley Surgicare, LLC's NPI (1457898215) is active in the NPPES registry as of the last update on 2021-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.