MIDWEST SURGERY CENTER, LLC
NPI 1003171745
Clinic/Center - Ambulatory Surgical in Cape Girardeau, MO
About Midwest Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST SURGERY CENTER, LLC (NPI 1003171745) is a healthcare organization registered as an ambulatory surgical in Cape Girardeau, Missouri and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Sonjay Joseph Fonn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midwest Surgery 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 Midwest Surgery Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 26D2050350
Midwest Surgery Center, LLC · Cape Girardeau, MOFrequently 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 Midwest Surgery Center, LLC's NPI number?
The NPI number for Midwest Surgery Center, LLC is 1003171745. It was assigned to this organization in the NPPES registry on July 9, 2012.
Where is Midwest Surgery Center, LLC located?
Midwest Surgery Center, LLC is located at 65 Doctors Park Suite B, Cape Girardeau, MO 63703. The listed phone number is (573) 803-2007.
What is Midwest Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Midwest Surgery Center, LLC enrolled in Medicare?
Yes. Midwest Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Midwest Surgery 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.
Does Midwest Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2050350) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Midwest Surgery Center, LLC was last updated on November 27, 2023. 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.
# Midwest Surgery Center, Llc · NPI 1003171745
Ambulatory Surgical organization in Cape Girardeau, Missouri. Organization record, active in the CMS NPPES registry since July 9, 2012.
## Identity
- **NPI:** 1003171745 (Entity type: Organization)
- **Enumerated:** July 9, 2012
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Sonjay Fonn, OWNER
## Practice location
- **Address:** 65 DOCTORS PARK, SUITE B, Cape Girardeau, MO 63703-4927
- **Phone:** (573) 803-2007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurosurgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003171745) · Data from the CMS NPPES public registry.