Organization Active NPI

Vadnais Heights Surgery Center LLC

Doing business as Vadnais Heights Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vadnais Heights, MN
National Provider Identifier
1861825986
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
375357 Issued in MN
Legal business name
VADNAIS HEIGHTS SURGERY CENTER LLC
Doing business as
Vadnais Heights Surgery Center
Practice address
3580 Street Ste 200
Vadnais Heights, MN 55127-7135
Phone
(651) 968-5790
Fax
(651) 968-5792
NPI assigned
Aug 13, 2013
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT ORTHOPEDICS, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
John Bien
Title
Cfo
Phone
(651) 968-5870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 375357 MN Primary

Addresses

Primary practice location

3580 Street Ste 200
Vadnais Heights, MN 55127-7135

Mailing address

3580 Street Ste 200
Vadnais Heights, MN 55127-7135
Phone (651) 968-5790

Other names 1

  • Vadnais Heights Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180309000448 MN Part B Supplier - Ambulatory Surgical Center 5193086015 Practice locations: Vadnais Heights, MN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Vadnais Heights Surgery CenterCCN 24C0001078
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Summit Orthopedics

Member of 2

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1861825986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 STREET STE 200",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277135",
            "telephone_number": "651-968-5790",
            "fax_number": "651-968-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 STREET STE 200",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277135",
            "telephone_number": "651-968-5790",
            "fax_number": "651-968-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADNAIS HEIGHTS SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT ORTHOPEDICS, LTD.",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-968-5870"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "375357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vadnais Heights Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.