VALLEY AMBULATORY SURGERY CENTER
NPI 1104819424
Clinic/Center - Ambulatory Surgical in St Charles, IL

Active since August 23, 2005CLIA 14D0670677 · Waiver
2475 DEAN ST, ST CHARLES, IL 60175(630) 584-9800(630) 584-9805 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2019, Apr 29, 2019, Aug 14, 2017 (3 updates tracked since 2017).

About Valley Ambulatory Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY AMBULATORY SURGERY CENTER (NPI 1104819424) is a healthcare organization registered as an ambulatory surgical in St Charles, Illinois and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains a secondary practice location in St Charles, and lists Jennifer B. Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104819424
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVALLEY AMBULATORY SURGERY CENTER, LP
Location Address2475 DEAN STSt Charles, IL 60175
Mailing Address2475 Dean StSt Charles, IL 60175-4831 · (630) 584-9800 · Fax (630) 584-9805
Fax(630) 584-9805
Organization SubpartNo
Authorized OfficialJennifer B. BaldockOfficer And Authorized Official · (615) 234-5900
Enumeration DateAugust 23, 2005
Last NPPES UpdateSeptember 30, 20193 updates tracked since enumeration
NPI 1104819424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in IL · 7001217
2475 DEAN ST, St Charles, IL 60175

Other Names 1

Doing Business AsValley Ambulatory Surgery Center

Secondary Practice Location 1

Location 12210 Dean StSt Charles, IL 60175-1059 · Phone (630) 584-9800 · Fax (630) 584-9805

Other Identifiers 1

Other7001217IL · Il Dept Public Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0670677

Valley Ambulatory Surgery Center · Saint Charles, IL
Active · expires Aug 31, 2026
CLIA Number14D0670677
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobert P. Berg M D
Laboratory Phone(630) 584-9800
Laboratory LocationValley Ambulatory Surgery Center2475 Dean St, Saint Charles, IL 60175
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
1,499 services236 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
1,197 services185 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,167 services717 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
340 services340 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
223 services223 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
153 services151 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2475 DEAN ST
ST CHARLES, IL 60175
Anesthesiology
2475 DEAN ST
ST CHARLES, IL 60175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Ambulatory Surgery Center, LP's NPI number?

The NPI number for Valley Ambulatory Surgery Center, LP is 1104819424. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Valley Ambulatory Surgery Center.

Where is Valley Ambulatory Surgery Center, LP located?

Valley Ambulatory Surgery Center, LP is located at 2475 Dean St, St Charles, IL 60175. The listed phone number is (630) 584-9800.

What is Valley Ambulatory Surgery Center, LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Valley Ambulatory Surgery Center, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0670677) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Ambulatory Surgery Center, LP was last updated on September 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.