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ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS
NPI 1508978990
Clinic/Center - Ambulatory Surgical in Portage, MI

Active since August 31, 2006CLIA 23D1046581 · Waiver
7901 ANGLING RD, PORTAGE, MI 49024(269) 324-8406 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Endoscopy And Surgery Center At Woodbridge Hills NPPES

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

ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS (NPI 1508978990) is a healthcare organization registered as an ambulatory surgical in Portage, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Brij Dewan, President, as its authorized official.

NPPES Registry Identity

NPI1508978990
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWOODBRIDGE CENTER LLC
Location Address7901 ANGLING RDPortage, MI 49024-0714
Mailing Address5943 Stadium Dr, Suite 3Kalamazoo, MI 49009-3016
Phone(269) 324-8406
Organization SubpartNo
Authorized OfficialBrij DewanPresident · (269) 385-9900
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 18, 2012
✔ NPI 1508978990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MI · 396814
Also ListedClinic/Center · EndoscopyTaxonomy 261QE0800X
7901 ANGLING RD, Portage, MI 49024
Open in Google Maps ↗

Other Names 1

Doing Business AsEndoscopy And Surgery Center At Woodbridge Hills

Other Identifiers 1

Medicare ID-Type Unspecified0P24200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endoscopy And Surgery Center At Woodbridge Hills is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20051114000469Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 23D1046581

Endoscopy And Surgery Center At Woodbridge Hills · Portage, MI
Active · expires Oct 12, 2027
CLIA Number23D1046581
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorSteven M. Nitsch MD
Laboratory Phone(269) 324-8406
Laboratory LocationEndoscopy And Surgery Center At Woodbridge Hills7901 Angling Road, Portage, MI 49024
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 12

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 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.
106 services105 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.
103 services103 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.
77 services77 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
68 services68 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
48 services48 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
37 services37 patients

Other Providers at the Same Location NPPES 20

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

DR. XUE WANG M.D.
Family Medicine
7901 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8600
PAMELA BARTLEY
Physician Assistant
7901 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8600
MISS FRANCESCA ROSE MCQUEEN DO
Emergency Medicine
7901 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 226-5962
PROMED HEALTHCARE
Durable Medical Equipment & Medical Supplies
7901 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8600
MARY ELLEN YEALIN
Nurse Practitioner
7901 ANGLING RD, SUITE B-201
PORTAGE, MI 49024
Kalamazoo County (269) 324-8600
LAWRENCE ULMER
Family Medicine
7901 ANGLING RD, SUITE B-201
PORTAGE, MI 49024
Kalamazoo County (269) 324-8600
ASCENSION BORGESS HOSPITAL
Pharmacy (Community/Retail Pharmacy)
7901 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8409
CARRIE JEPSEN
Pharmacist
7901 ANGLING RD
PORTAGE, MI 49024
Kalamazoo County (269) 324-8409

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 Woodbridge Center LLC's NPI number?

The NPI number for Woodbridge Center LLC is 1508978990. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Endoscopy And Surgery Center At Woodbridge Hills.

Where is Woodbridge Center LLC located?

Woodbridge Center LLC is located at 7901 Angling Rd, Portage, MI 49024. The listed phone number is (269) 324-8406.

What is Woodbridge Center LLC's specialty?

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

Is Woodbridge Center LLC enrolled in Medicare?

Yes. Woodbridge Center LLC is registered in the Medicare PECOS enrollment system.

When is Woodbridge Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Woodbridge Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1046581) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodbridge Center LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Woodbridge 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 Woodbridge Center LLC was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.