TREASURE VALLEY VEIN AND WOUND CENTER LLC
NPI 1336917913
Surgery in Garden City, ID

Active since December 13, 2023
10557 W CARLTON BAY DR STE 106, GARDEN CITY, ID 83714(304) 617-1511 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2024, Dec 13, 2023 (2 updates tracked since 2023).

About Treasure Valley Vein And Wound Center Llc NPPES

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

TREASURE VALLEY VEIN AND WOUND CENTER LLC (NPI 1336917913) is a healthcare organization registered as a surgery in Garden City, Idaho and active in the NPI registry since December 2023. The organization lists Ashley W Bennett, Owner Provider, as its authorized official.

NPPES Registry Identity

NPI1336917913
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTREASURE VALLEY VEIN AND WOUND CENTER LLC
Location Address10557 W CARLTON BAY DR STE 106Garden City, ID 83714-5200
Mailing Address10557 W Carlton Bay Dr Ste 106Garden City, ID 83714-5200 · (304) 617-1511
Organization SubpartNo
Authorized OfficialAshley W BennettOwner Provider · (304) 617-1511
Enumeration DateDecember 13, 2023
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1336917913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10557 W CARLTON BAY DR STE 106, Garden City, ID 83714

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Treasure Valley Vein And Wound Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Treasure Valley Vein And Wound Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1326252545
1070 N CURTIS RD STE 270
Boise, ID 83706
(304) 617-1511
✔ PECOS✔ Accepts Medicare5.5 mi

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

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 Treasure Valley Vein And Wound Center LLC's NPI number?

The NPI number for Treasure Valley Vein And Wound Center LLC is 1336917913. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Treasure Valley Vein And Wound Center LLC located?

Treasure Valley Vein And Wound Center LLC is located at 10557 W Carlton Bay Dr Ste 106, Garden City, ID 83714. The listed phone number is (304) 617-1511.

What is Treasure Valley Vein And Wound Center LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Treasure Valley Vein And Wound Center LLC enrolled in Medicare?

Yes. Treasure Valley Vein And Wound Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Treasure Valley Vein And Wound Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Treasure Valley Vein And Wound 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Treasure Valley Vein And Wound Center LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Treasure Valley Vein And Wound 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 Treasure Valley Vein And Wound Center LLC was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.