Organization Active NPI

Menomonee Falls Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Menomonee Falls, WI
National Provider Identifier
1689666596
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MENOMONEE FALLS AMBULATORY SURGERY CENTER, LLC
Practice address
W180N8045 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone
(262) 250-0950
Fax
(262) 250-0955
NPI assigned
Aug 17, 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 WI Primary

Addresses

Primary practice location

W180N8045 Town Hall Rd
Menomonee Falls, WI 53051-3518

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
O20071120000228 WI Part B Supplier - Ambulatory Surgical Center 2668560905 Practice locations: Menomonee Falls, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Menomonee Falls Ambulatory Surgery CenterCCN 52C0001023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 3

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

Locations

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1689666596",
    "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": "W180N8045 TOWN HALL RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513518",
            "telephone_number": "262-250-0950",
            "fax_number": "262-250-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOMONEE FALLS AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, 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.