Organization Active NPI

Froedtert Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1508851213
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2014993545 Issued in WI
Legal business name
FROEDTERT SURGERY CENTER, LLC
Practice address
840 N 87TH St
Milwaukee, WI 53226-3586
Phone
(414) 805-9500
Fax
(414) 805-9501
NPI assigned
Sep 19, 2005
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Partridge
Title
Senior Vice President, Finance
Phone
(440) 813-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2014993545 WI Primary

Addresses

Primary practice location

840 N 87TH St
Milwaukee, WI 53226-3586

Mailing address

N74W12501 Leatherwood CT
Menomonee Falls, WI 53051-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000058 WI Part B Supplier - Ambulatory Surgical Center 2961443452 Practice locations: Milwaukee, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Froedtert Surgery Center LLCCCN 52C0001059
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1034644Froedtert Surgery Center, LLC840 N 87TH St, Milwaukee, WI 53226Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1508851213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N 87TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263586",
            "telephone_number": "414-805-9500",
            "fax_number": "414-805-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "440-813-2866"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WI",
            "license": "2014993545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.

Verify at the official NPI Registry.