MADISON AVENUE SURGERY CENTER LLC
NPI 1225488216
Clinic/Center - Ambulatory Surgical in Idaho Falls, ID

Active since June 21, 2016
1855 MADISON AVENUE, IDAHO FALLS, ID 83404(208) 881-5351 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2016, Jun 21, 2016 (2 updates tracked since 2016).

About Madison Avenue Surgery Center Llc NPPES

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

MADISON AVENUE SURGERY CENTER LLC (NPI 1225488216) is a healthcare organization registered as an ambulatory surgical in Idaho Falls, Idaho and active in the NPI registry since June 2016. The organization lists Kim Bell, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225488216
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMADISON AVENUE SURGERY CENTER LLC
Location Address1855 MADISON AVENUEIdaho Falls, ID 83404
Mailing Address1855 Madison AvenueIdaho Falls, ID 83404
Organization SubpartNo
Authorized OfficialKim BellOffice Manager · (208) 881-5351
Enumeration DateJune 21, 2016
Last NPPES UpdateDecember 29, 20162 updates tracked since enumeration
✔ NPI 1225488216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1855 MADISON AVENUE, Idaho Falls, ID 83404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Avenue Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Madison Avenue Surgery Center LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1760884803
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6264
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992740716
3100 CHANNING WAY
Idaho Falls, ID 83404
(208) 529-6269
✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033470216
2290 CORONADO ST
Idaho Falls, ID 83404
(208) 421-1159
✔ Accepts Medicare0.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588662878
2325 CORONADO ST.
Idaho Falls, ID 83404
(812) 237-0211
✔ Accepts Medicare0.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770928244
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-3729
✔ Accepts Medicare26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740362797
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ Accepts Medicare26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497833537
1485 PARKWAY DR
Blackfoot, ID 83221
(208) 785-5100
26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376964544
625 E BROADWAY AVE
Jackson, WY 83001
(307) 739-7218
✔ Accepts Medicare63 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215208152
801 POLE LINE RD W
Twin Falls, ID 83301
(208) 814-2400
✔ Accepts Medicare140 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275838021
1055 N CURTIS RD
Boise, ID 83706
(208) 390-1648
✔ Accepts Medicare214 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023520806
400 W 16TH ST
Pueblo, CO 81003
(719) 584-4000
✔ PECOS✔ Accepts Medicare527 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255571550
2201 LEXINGTON AVE
Ashland, KY 41101
(606) 408-4000
✔ Accepts Medicare1,565 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
17 services14 patients
Fusion of multiple foot joints 28730
Fusion of multiple foot joints is a surgical procedure aimed at reducing pain and improving stability in your foot. It involves joining two or more bones in the foot to limit motion and relieve discomfort. The recovery period varies, often requiring a cast and limited weight-bearing activities.
15 services15 patients
Correction of bunion 28292
A bunion correction is a surgical procedure to realign the bone, ligaments, tendons, and nerves so your big toe can be brought back to its correct position. This procedure reduces foot pain and improves balance and foot function.
14 services13 patients
Incision or partial removal of foot bone (other than big toe) to straighten toe 28308
This procedure involves making a small incision to partially remove a bone in the foot, excluding the big toe. The aim is to straighten a misaligned toe. It helps in relieving pain, improving foot function, and enhancing shoe comfort.
14 services13 patients

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 Madison Avenue Surgery Center LLC's NPI number?

The NPI number for Madison Avenue Surgery Center LLC is 1225488216. It was assigned to this organization in the NPPES registry on June 21, 2016.

Where is Madison Avenue Surgery Center LLC located?

Madison Avenue Surgery Center LLC is located at 1855 Madison Avenue, Idaho Falls, ID 83404. The listed phone number is (208) 881-5351.

What is Madison Avenue Surgery Center LLC's specialty?

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

Is Madison Avenue Surgery Center LLC enrolled in Medicare?

Yes. Madison Avenue Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Avenue Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Madison Avenue Surgery Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Madison Avenue Surgery Center LLC accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Madison Avenue Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Avenue Surgery Center LLC was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.