Organization Active NPI

Valley Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Hudson, WI
National Provider Identifier
1619614963
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEY SURGERY CENTER LLC
Practice address
2651 Hillcrest Dr Ste 301
Hudson, WI 54016-9919
Phone
(651) 333-2190
Fax
(651) 275-3161
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Gary S SchwartzNPI 1275538571
Title
Board Member
Phone
(651) 275-3025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2651 Hillcrest Dr Ste 301
Hudson, WI 54016-9919

Mailing address

2651 Hillcrest Dr
Hudson, WI 54016-9914
Phone (715) 952-1279

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221118000144 WI Part B Supplier - Ambulatory Surgical Center 6204204563 Practice locations: Hudson, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Valley Surgery Center LLCCCN 52C0001148
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
52D2277843Valley Surgery Center2651 Hillcrest Drive, Suite 301, Hudson, WI 54016Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Member of 3

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

Locations

2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1619614963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 HILLCREST DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169914",
            "telephone_number": "715-952-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 HILLCREST DR STE 301",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169919",
            "telephone_number": "651-333-2190",
            "fax_number": "651-275-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "651-275-3025"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.