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WOODBURY SURGERY CENTER, LLC
NPI 1669079992
Clinic/Center - Ambulatory Surgical in Woodbury, MN

Active since October 09, 2020CLIA 24D2074458 · Waiver
587 BIELENBERG DR STE 100, WOODBURY, MN 55125(651) 493-0343 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Woodbury Surgery Center, Llc NPPES

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

WOODBURY SURGERY CENTER, LLC (NPI 1669079992) is a healthcare organization registered as an ambulatory surgical in Woodbury, Minnesota and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Michael Miller, Board Member, as its authorized official.

NPPES Registry Identity

NPI1669079992
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWOODBURY SURGERY CENTER, LLC
Location Address587 BIELENBERG DR STE 100Woodbury, MN 55125-4452
Mailing Address587 Bielenberg Dr Ste 100Woodbury, MN 55125-4452 · (651) 493-0343
Phone(651) 493-0343
Organization SubpartNo
Authorized OfficialMichael MillerBoard Member · (651) 493-0343
Enumeration DateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1669079992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
587 BIELENBERG DR STE 100, Woodbury, MN 55125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 24D2074458

Woodbury Surgery Center · Woodbury, MN
Active · expires Mar 9, 2028
CLIA Number24D2074458
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorMichael Koeplin
Laboratory Phone(651) 493-0343
Laboratory LocationWoodbury Surgery Center587 Bielenberg Dr, Suite 100, Woodbury, MN 55125
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 2

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 of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
39 services27 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.
20 services19 patients

Other Providers at the Same Location NPPES

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

WOODBURY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
587 BIELENBERG DR STE 100
WOODBURY, MN 55125
Washington County (651) 493-0343

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 Woodbury Surgery Center, LLC's NPI number?

The NPI number for Woodbury Surgery Center, LLC is 1669079992. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Woodbury Surgery Center, LLC located?

Woodbury Surgery Center, LLC is located at 587 Bielenberg Dr Ste 100, Woodbury, MN 55125. The listed phone number is (651) 493-0343.

What is Woodbury Surgery Center, LLC's specialty?

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

Does Woodbury Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2074458) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Woodbury Surgery Center, LLC accept?

Health plans from HealthPartners list Woodbury 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 Woodbury Surgery Center, LLC was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.