Lake Ridge Ambulatory Surgery Center, LLC
NPI 1972850808 · Ambulatory Surgical Clinic/Center · Woodbridge, VA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Ridge Ambulatory Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Woodbridge, VA (NPI 1972850808).
Provider details
- NPI number
- 1972850808
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Smith, Administrator(703) 357-9568
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
13 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
45 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) |
|---|---|---|
| Replacement of Knee Joint, Both Sides of Knee27447 | 22 | $9,011 |
| Repair of Shoulder Rotator Cuff Using an Endoscope29827 | 12 | $1,830 |
| Release of Tendon Connecting Biceps Muscle and Shoulder Using an Endoscope29828 | 11 | $3,379 |
Typical Medicare-allowed amounts for these services range $1,830–$9,011 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Ridge Surgery Center
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2013-12-27
Frequently asked questions
- What is Lake Ridge Ambulatory Surgery Center, LLC's NPI number?
- Lake Ridge Ambulatory Surgery Center, LLC's National Provider Identifier (NPI) is 1972850808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Ridge Ambulatory Surgery Center, LLC?
- Lake Ridge Ambulatory Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Ridge Ambulatory Surgery Center, LLC located?
- Lake Ridge Ambulatory Surgery Center, LLC's practice location on file with NPPES is 12825 Minnieville Road, Woodbridge, VA 22192.
- What is Lake Ridge Ambulatory Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Ridge Ambulatory Surgery Center, LLC is (703) 357-9568.
- Does Lake Ridge Ambulatory Surgery Center, LLC accept Medicare?
- Lake Ridge 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 Lake Ridge Ambulatory Surgery Center, LLC?
- The authorized official listed on Lake Ridge Ambulatory Surgery Center, LLC's NPPES record is Janet Smith, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Ridge Ambulatory Surgery Center, LLC's NPI active?
- Yes — Lake Ridge Ambulatory Surgery Center, LLC's NPI (1972850808) is active in the NPPES registry as of the last update on 2013-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.