Organization Active NPI

Spine and Neuro Health and Wellness Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lake Geneva, WI
National Provider Identifier
1831858455
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPINE AND NEURO HEALTH AND WELLNESS CENTER LLC
Practice address
850 Geneva Pkwy N Ste 100
Lake Geneva, WI 53147-4562
Phone
(262) 956-9067
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Arvind Ahuja, MDNPI 1801857297
Title
Medical Director
Phone
(262) 956-9067

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

850 Geneva Pkwy N Ste 100
Lake Geneva, WI 53147-4562

Mailing address

850 Lake Geneva Parkway N
Suite 100
Lake Geneva, WI 53147-4562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209001997 WI Part B Supplier - Ambulatory Surgical Center 8426441726 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Geneva, WI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Spine and Neuro Health and Wellness Center LLCCCN 52C0001142
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
52D2254517Spine and Neuro Health and Wellness Center LLC850 Geneva Parkway N, Lake Geneva, WI 53147Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

850 Geneva Pkwy N
Lake Geneva, WI 53147
Phone (262) 299-6199

850 Geneva Pkwy N
Ste 200
Lake Geneva, WI 53147

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1831858455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 LAKE GENEVA PARKWAY N",
            "address_2": "SUITE 100",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GENEVA PKWY N STE 100",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474562",
            "telephone_number": "262-956-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND NEURO HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "262-956-9067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.