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ENDOSCOPIC IMAGING CENTER
NPI 1235104738
Clinic/Center - Ambulatory Surgical in Overland Park, KS

Active since February 20, 2006CLIA 17D0988674 · Waiver
10200 W 105TH ST, OVERLAND PARK, KS 66212(913) 492-0800(913) 492-2432 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2022, Feb 28, 2017 (2 updates tracked since 2017).

About Endoscopic Imaging Center NPPES

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

ENDOSCOPIC IMAGING CENTER (NPI 1235104738) is a healthcare organization registered as an ambulatory surgical in Overland Park, Kansas and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Jeffrey E Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1235104738
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE OVERLAND PARK KS ENDOSCOPY ASC LLC
Location Address10200 W 105TH STOverland Park, KS 66212-5750
Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 665-1283 · Fax (615) 234-1720
Phone(913) 492-0800
Fax(913) 492-2432
Organization SubpartNo
Authorized OfficialJeffrey E SnodgrassPresident · (615) 665-1283
Enumeration DateFebruary 20, 2006
Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1235104738 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 · S046017
10200 W 105TH ST, Overland Park, KS 66212
Open in Google Maps ↗

Other Names 1

Doing Business AsEndoscopic Imaging Center

Other Identifiers 1

Medicaid100405740BKS

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 17D0988674

Endoscopic Imaging Center · Overland Park, KS
Active · expires Jul 2, 2027
CLIA Number17D0988674
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDonald J. Martin
Laboratory Phone(913) 492-0800
Laboratory LocationEndoscopic Imaging Center10200 W 105th Street Suite 100, Overland Park, KS 66212
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 13

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 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.
501 services499 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.
408 services407 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.
393 services386 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
236 services235 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
233 services233 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
135 services129 patients

Other Providers at the Same Location NPPES 8

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

DR. WILLIAM HARTONG M.D.
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 495-9600
GASGAS LLC
Nurse Anesthetist, Certified Registered
10200 W 105TH ST, SUITE 100
OVERLAND PARK, KS 66212
Johnson County (913) 492-0800
JON CHRISTOPHER NICHOLS M.D.
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 495-9600
DR. DONNA MARIE GRAESSLE DO
Internal Medicine (Gastroenterology)
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 495-9600
GASTROINTESTINAL ASSOCIATES, LLC
Internal Medicine (Gastroenterology)
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 541-0510
DR. WILLIAM DWIGHT BUSER M.D.
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 495-9600
DR. JOHN ANTHONY THESING M.D.
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 495-9600
KELCI BROOKE GILLENWATER
Nurse Practitioner
10200 W 105TH ST
OVERLAND PARK, KS 66212
Johnson County (913) 495-9600

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 The Overland Park Ks Endoscopy ASC LLC's NPI number?

The NPI number for The Overland Park Ks Endoscopy ASC LLC is 1235104738. It was assigned to this organization in the NPPES registry on February 20, 2006. The provider is doing business as Endoscopic Imaging Center.

Where is The Overland Park Ks Endoscopy ASC LLC located?

The Overland Park Ks Endoscopy ASC LLC is located at 10200 W 105th St, Overland Park, KS 66212. The listed phone number is (913) 492-0800.

What is The Overland Park Ks Endoscopy ASC LLC's specialty?

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

Does The Overland Park Ks Endoscopy ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0988674) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Overland Park Ks Endoscopy ASC LLC 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 3 other insurers list The Overland Park Ks Endoscopy ASC 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 The Overland Park Ks Endoscopy ASC LLC was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.