SOUTH KANSAS CITY SURGICENTER
NPI 1114924685
Clinic/Center - Ambulatory Surgical in Overland Park, KS

Q: What is South Kansas City Surgical Center, Lc's specialty?

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

Active since June 30, 2005CLIA 17D0998154 · Waiver

10730 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211(913) 901-9000(913) 901-9030 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About South Kansas City Surgicenter NPPES

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

SOUTH KANSAS CITY SURGICENTER (NPI 1114924685) is a healthcare organization registered as an ambulatory surgical in Overland Park, Kansas and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Christine Blackburn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114924685

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTH KANSAS CITY SURGICAL CENTER, LC

Location Address10730 NALL AVE, SUITE 100Overland Park, KS 66211-1206

Mailing Address10730 Nall Ave, Suite 100Overland Park, KS 66211-1206 · (913) 901-9000 · Fax (913) 901-9030

Phone(913) 901-9000

Fax(913) 901-9030

Organization SubpartNo

Authorized OfficialChristine BlackburnAdministrator · (913) 901-9000

Enumeration DateJune 30, 2005

Last NPPES UpdateJuly 30, 2021

NPPES CertifiedJuly 30, 2021

✔ NPI 1114924685 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 KS · S046019

10730 NALL AVE, Overland Park, KS 66211

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Other Names 1

Doing Business AsSouth Kansas City Surgicenter

Other Identifiers 1

Medicaid200310690AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 17D0998154

South Kansas City Surgical Center, LLC · Overland Park, KS

Active · expires Apr 7, 2028

CLIA Number17D0998154

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 8, 2026

Certificate Expiration DateApril 7, 2028

Laboratory DirectorKatherine Cundiff

Laboratory Phone(913) 901-9000

Laboratory LocationSouth Kansas City Surgical Center, LLC10730 Nall Avenue, Ste 100, Overland Park, KS 66211

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 7

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 nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

80 services40 patients

Removal of nasal sinus tissue using an endoscope 31267

This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.

65 services33 patients

Exploration of nasal sinus using an endoscope 31276

Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.

45 services23 patients

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.

42 services21 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

30 services30 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.

26 services15 patients

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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. AUSTIN WAYNE LEHR DO

Surgery

10730 NALL AVE, STE 101
OVERLAND PARK, KS 66211

Johnson County (913) 754-2800

ALLYSON DIBERT LENZ BSN, RN, MSN, FNP-BC

Nurse Practitioner (Family)

10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211

Johnson County (913) 945-9837

MARY JULIAN PHILLIPS P.T.

Physical Therapist

10730 NALL AVE, SUITE 203
OVERLAND PARK, KS 66211

Johnson County (913) 383-8977

MS. SHEFALI SHIRALI B SC, LPT

Physical Therapist

10730 NALL AVE
OVERLAND PARK, KS 66211

Johnson County (913) 385-0075

PHYSICIANS REFERENCE LABORATORY LLC

Pathology (Anatomic Pathology & Clinical Pathology)

10730 NALL AVE, STE 100
OVERLAND PARK, KS 66211

Johnson County (913) 338-4070

ADVANCED SPINE & ORTHOPAEDIC SPECIALISTS, PA

Orthopaedic Surgery

10730 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211

Johnson County (913) 649-7300

MRS. ASHLEY KENDRICK DPT

Specialist

10730 NALL AVE, SUITE 204
OVERLAND PARK, KS 66211

Johnson County (913) 385-0075

DAVID M SMITH M.D.

Family Medicine (Adult Medicine)

10730 NALL AVE, STE. 200
OVERLAND PARK, KS 66211

Johnson County (913) 945-9800

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 South Kansas City Surgical Center, Lc's NPI number?

The NPI number for South Kansas City Surgical Center, Lc is 1114924685. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as South Kansas City Surgicenter.

Where is South Kansas City Surgical Center, Lc located?

South Kansas City Surgical Center, Lc is located at 10730 Nall Ave Suite 100, Overland Park, KS 66211. The listed phone number is (913) 901-9000.

What is South Kansas City Surgical Center, Lc's specialty?

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

Does South Kansas City Surgical Center, Lc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0998154) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Kansas City Surgical Center, Lc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list South Kansas City Surgical Center, Lc 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 South Kansas City Surgical Center, Lc was last updated on July 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.