KANSAS CITY SURGERY CENTER, LLC
NPI 1174197990
Clinic/Center - Ambulatory Surgical in Overland Park, KS

Active since May 17, 2021CLIA 17D2233818 · Waiver
7524 ANTIOCH RD, OVERLAND PARK, KS 66204(913) 382-4444 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2022, May 17, 2021 (2 updates tracked since 2021).

About Kansas City Surgery Center, Llc NPPES

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

KANSAS CITY SURGERY CENTER, LLC (NPI 1174197990) is a healthcare organization registered as an ambulatory surgical in Overland Park, Kansas and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Erin Malloy, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1174197990
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKANSAS CITY SURGERY CENTER, LLC
Location Address7524 ANTIOCH RDOverland Park, KS 66204
Mailing Address7524 Antioch RdOverland Park, KS 66204-4017 · (913) 382-4444
Organization SubpartNo
Authorized OfficialErin MalloyAuthorized Official · (417) 889-2040
Enumeration DateMay 17, 2021
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1174197990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
7524 ANTIOCH RD, Overland Park, KS 66204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kansas City Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Kansas City Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Optometry
NPI 1235137308
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1417944208
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891256285
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1952523334
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1972532315
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1568459469
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1336348820
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1558590034
7504 ANTIOCH RD
Overland Park, KS 66204
(913) 341-3100
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1821229949
16100 W 65TH ST
Shawnee, KS 66217
(913) 268-3300
✔ PECOS✔ Accepts Medicare4.8 mi

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 17D2233818

Kansas City Surgery Center, LLC · Overland Park, KS
Active · expires Aug 25, 2027
CLIA Number17D2233818
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorFred S. Bodker
Laboratory Phone(913) 382-4444
Laboratory LocationKansas City Surgery Center, LLC7524 Antioch Rd, Overland Park, KS 66204
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 9

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 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.
1,156 services661 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
471 services330 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
110 services71 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
105 services64 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.
71 services36 patients
Processing, preserving and transporting corneal tissue V2785
Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.
49 services39 patients

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 Kansas City Surgery Center, LLC's NPI number?

The NPI number for Kansas City Surgery Center, LLC is 1174197990. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Kansas City Surgery Center, LLC located?

Kansas City Surgery Center, LLC is located at 7524 Antioch Rd, Overland Park, KS 66204. The listed phone number is (913) 382-4444.

What is Kansas City Surgery Center, LLC's specialty?

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

Is Kansas City Surgery Center, LLC enrolled in Medicare?

Yes. Kansas City Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kansas City Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Kansas City 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. The largest specialties are Ophthalmology (5) and Optometry (4). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kansas City Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2233818) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kansas City Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Kansas City 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 Kansas City Surgery Center, LLC was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.