SAINT LUKE'S SURGICENTER - LEE'S SUMMIT
NPI 1164486809
Clinic/Center - Ambulatory Surgical in Lees Summit, MO

Active since April 12, 2006CLIA 26D1035997 · Waiver
120 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086(816) 347-5800(816) 347-5899 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2023, May 20, 2020, Dec 19, 2017 (3 updates tracked since 2017).

About Saint Luke's Surgicenter - Lee's Summit NPPES

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

SAINT LUKE'S SURGICENTER - LEE'S SUMMIT (NPI 1164486809) is a healthcare organization registered as an ambulatory surgical in Lees Summit, Missouri and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Larry Frevert, Board Member, as its authorized official.

NPPES Registry Identity

NPI1164486809
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAINT LUKE'S SURGICENTER - LEE'S SUMMIT
Location Address120 NE SAINT LUKES BLVDLees Summit, MO 64086-6000
Mailing AddressPo Box 7010Overland Park, KS 66207-0010 · (913) 647-6475
Fax(816) 347-5899
Organization SubpartNo
Authorized OfficialLarry FrevertBoard Member · (816) 347-5800
Enumeration DateApril 12, 2006
Last NPPES UpdateApril 16, 20253 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
NPI 1164486809 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 MO · 154-1
120 NE SAINT LUKES BLVD, Lees Summit, MO 64086

Accepted 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 26D1035997

Saint Lukes Surgicenter - Lee's Summit, LLC · Lees Summit, MO
Active · expires Jan 17, 2027
CLIA Number26D1035997
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorBrad Condon
Laboratory Phone(816) 347-5822
Laboratory LocationSaint Lukes Surgicenter - Lee's Summit, LLC120 NE Saint Lukes Blvd, Lees Summit, MO 64086
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 47

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,900 services30 patients
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.
387 services386 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.
384 services383 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
344 services201 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.
280 services278 patients
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.
172 services96 patients

Other Providers at the Same Location NPPES 11

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

Specialist/Technologist (Athletic Trainer)
120 NE SAINT LUKES BLVD
LEES SUMMIT, MO 64086
Anesthesiology
120 NE SAINT LUKES BLVD
LEES SUMMIT, MO 64086
Orthopaedic Surgery
120 NE SAINT LUKES BLVD, SUITE 200
LEES SUMMIT, MO 64086
Obstetrics & Gynecology
120 NE SAINT LUKES BLVD
LEES SUMMIT, MO 64086
Anesthesiology
120 NE SAINT LUKES BLVD
LEES SUMMIT, MO 64086
Specialist/Technologist (Athletic Trainer)
120 NE SAINT LUKES BLVD, STE 200
LEES SUMMIT, MO 64086
Physician Assistant
120 NE SAINT LUKES BLVD, STE. 200
LEES SUMMIT, MO 64086
Physical Medicine & Rehabilitation (Pain Medicine)
120 NE SAINT LUKES BLVD, SUITE 200
LEES SUMMIT, MO 64086

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 Saint Luke's Surgicenter - Lee's Summit's NPI number?

The NPI number for Saint Luke's Surgicenter - Lee's Summit is 1164486809. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is Saint Luke's Surgicenter - Lee's Summit located?

Saint Luke's Surgicenter - Lee's Summit is located at 120 NE Saint Lukes Blvd, Lees Summit, MO 64086. The listed phone number is (816) 347-5800.

What is Saint Luke's Surgicenter - Lee's Summit's specialty?

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

Does Saint Luke's Surgicenter - Lee's Summit hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1035997) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Saint Luke's Surgicenter - Lee's Summit accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Saint Luke's Surgicenter - Lee's Summit 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 Saint Luke's Surgicenter - Lee's Summit was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.