PMTC SURGERY CENTER, INC
NPI 1457306888
Clinic/Center - Ambulatory Surgical in Milwaukee, WI

Q: What is Pmtc Surgery Center, Inc's NPI number?

The NPI number for Pmtc Surgery Center, Inc is 1457306888. It was assigned to this organization in the NPPES registry on May 24, 2006.

Q: What is Pmtc Surgery Center, Inc's specialty?

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

Active since May 24, 2006CLIA 52D1015406 · Waiver

8901 N 76TH ST, MILWAUKEE, WI 53223(414) 354-0772(414) 365-0773 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 6, 2026, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Pmtc Surgery Center, Inc NPPES

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

PMTC SURGERY CENTER, INC (NPI 1457306888) is a healthcare organization registered as an ambulatory surgical in Milwaukee, Wisconsin and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Jaison Thekkekara, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1457306888

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePMTC SURGERY CENTER, INC

Location Address8901 N 76TH STMilwaukee, WI 53223-1901

Mailing Address8901 N 76th StMilwaukee, WI 53223-1901 · (414) 354-0772 · Fax (414) 365-0773

Phone(414) 354-0772

Fax(414) 365-0773

Organization SubpartNo

Authorized OfficialJaison ThekkekaraTreasurer · (972) 839-6292

Enumeration DateMay 24, 2006

Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1457306888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

8901 N 76TH ST, Milwaukee, WI 53223

Open in Google Maps ↗

Other Identifiers 1

Medicaid41913300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, UnitedHealthcare.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 52D1015406

Pmtc Surgery Center · Milwaukee, WI

Active · expires Jul 29, 2027

CLIA Number52D1015406

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 30, 2025

Certificate Expiration DateJuly 29, 2027

Laboratory DirectorDr. Jaison Thekkekara

Laboratory Phone(414) 354-0772

Laboratory LocationPmtc Surgery Center8901 N 76th St, Milwaukee, WI 53223

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 3

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.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

53 services18 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

38 services13 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

20 services13 patients

Other Providers at the Same Location NPPES 13

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

DR. ALBERTO C CLAR MD

Anesthesiology