Active NPI
Prohealth Aligned LLC
Doing business as ProHealth Care Moreland Surgery Center
- Ambulatory Surgical Clinic/Center
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PROHEALTH ALIGNED LLC
- Doing business as
- ProHealth Care Moreland Surgery Center
- Practice address
- 1111 Delafield St Ste 100
Waukesha, WI 53188-3407 - Phone
- (262) 928-4300
- Fax
- (262) 928-4333
- NPI assigned
- Oct 9, 2008
- Last updated
- Mar 18, 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
- Cyndi Lee
- Title
- Business Office Manager
- Phone
- (262) 928-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1111 Delafield St Ste 100
Waukesha, WI 53188-3407
Mailing address
1111 Delafield St Ste 100
Waukesha, WI 53188-3407
Phone (262) 928-4300
Other names 1
- ProHealth Care Moreland Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081205000390 | WI | Part B Supplier - Ambulatory Surgical Center | 8729149976 | Practice locations: Waukesha, WI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Prohealth Aligned LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 52D1045727 | Prohealth Aligned, LLC | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
Member Of
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Waukesha, WI
- NPI 1912014697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1053562959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST STE 100",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883407",
"telephone_number": "262-928-4300",
"fax_number": "262-928-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST STE 100",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883407",
"telephone_number": "262-928-4300",
"fax_number": "262-928-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH ALIGNED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CYNDI",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "262-928-4300"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ProHealth Care Moreland Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.