GRAND VALLEY SURGICAL CENTER, LLC
NPI 1417950395
Clinic/Center - Ambulatory Surgical in Grand Rapids, MI

Active since May 24, 2005CLIA 23D0932343 · Waiver
2680 LEONARD ST NE, STE 1, GRAND RAPIDS, MI 49525(616) 224-1110 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Grand Valley Surgical Center, Llc NPPES

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

GRAND VALLEY SURGICAL CENTER, LLC (NPI 1417950395) is a healthcare organization registered as an ambulatory surgical in Grand Rapids, Michigan and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Kara M Dunwoody, Quality And Operations Mgr, as its authorized official.

NPPES Registry Identity

NPI1417950395
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRAND VALLEY SURGICAL CENTER, LLC
Location Address2680 LEONARD ST NE, STE 1Grand Rapids, MI 49525-6902
Mailing Address2680 Leonard St Ne Ste 1Grand Rapids, MI 49525-6902 · (616) 224-1110
Organization SubpartNo
Authorized OfficialKara M DunwoodyQuality And Operations Mgr · (616) 224-1110
Enumeration DateMay 24, 2005
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1417950395 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 MI · 416829
2680 LEONARD ST NE, Grand Rapids, MI 49525

Other Identifiers 3

OtherOD17003MI · Bcbs Secondary
Other490004173MI · Medicare Railroad
Other40362MI · Bcbs

Accepted Insurance

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 23D0932343

Grand Valley Surgical Center · Grand Rapids, MI
Active · expires Aug 13, 2027
CLIA Number23D0932343
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorAdam Henke
Laboratory Phone(616) 224-1110
Laboratory LocationGrand Valley Surgical Center2680 Leonard Street NE Suite 1, Grand Rapids, MI 49525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.

Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
135 services68 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.
125 services73 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
94 services50 patients
Extensive repair of turning-outward eyelid defect 67917
This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.
40 services27 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
33 services26 patients
Removal of membrane of retina with removal of internal limiting membrane of retina 67042
This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.
33 services31 patients

Other Providers at the Same Location NPPES 7

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

Physician Assistant (Surgical)
2680 LEONARD ST NE
GRAND RAPIDS, MI 49525
Pharmacist
2680 LEONARD ST NE
GRAND RAPIDS, MI 49525
Pharmacist
2680 LEONARD ST NE
GRAND RAPIDS, MI 49525
Durable Medical Equipment & Medical Supplies
2680 LEONARD ST NE
GRAND RAPIDS, MI 49525
Physician Assistant
2680 LEONARD ST NE
GRAND RAPIDS, MI 49525
Physician Assistant
2680 LEONARD ST NE
GRAND RAPIDS, MI 49525
Physician Assistant (Medical)
2680 LEONARD ST NE, SUITE 2
GRAND RAPIDS, MI 49525

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 Grand Valley Surgical Center, LLC's NPI number?

The NPI number for Grand Valley Surgical Center, LLC is 1417950395. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Grand Valley Surgical Center, LLC located?

Grand Valley Surgical Center, LLC is located at 2680 Leonard St NE Ste 1, Grand Rapids, MI 49525. The listed phone number is (616) 224-1110.

What is Grand Valley Surgical Center, LLC's specialty?

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

Does Grand Valley Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0932343) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Valley Surgical Center, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Grand Valley Surgical 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 Grand Valley Surgical Center, LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.