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KANSAS SURGERY CENTER, LLC
NPI 1366117988
Clinic/Center - Ambulatory Surgical in Overland Park, KS

Active since August 16, 2021CLIA 17D2240785 · Waiver
10995 QUIVIRA RD STE 200, OVERLAND PARK, KS 66210(913) 339-9437 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 25, 2022, Aug 16, 2021 (2 updates tracked since 2021).

About Kansas Surgery Center, Llc NPPES

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

KANSAS SURGERY CENTER, LLC (NPI 1366117988) is a healthcare organization registered as an ambulatory surgical in Overland Park, Kansas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Mayank Gupta, Owner, as its authorized official.

NPPES Registry Identity

NPI1366117988
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKANSAS SURGERY CENTER, LLC
Location Address10995 QUIVIRA RD STE 200Overland Park, KS 66210-1207
Mailing Address10995 Quivira Rd Ste 200Overland Park, KS 66210-1207 · (913) 339-9437
Phone(913) 339-9437
Organization SubpartNo
Authorized OfficialMayank GuptaOwner · (913) 339-9437
Enumeration DateAugust 16, 2021
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1366117988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10995 QUIVIRA RD STE 200, Overland Park, KS 66210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter of Oklahoma and more.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 Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Kansas Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)5
Pain Management5
Anesthesiology2

Clinicians, nearest first (12)

Allison Bell, MD
Anesthesiology
NPI 1770077695
10995 QUIVIRA RD
Overland Park, KS 66210
(913) 999-7644
✔ PECOS✔ Accepts MedicareSame address
Twinkal Dalal, M.D.
Pain Management
NPI 1326369315
10995 QUIVIRA RD
Overland Park, KS 66210
(913) 339-9437
✔ PECOS✔ Accepts MedicareSame address
Mayank Gupta, MD (MBBS)
Pain Management
NPI 1023104445
10995 QUIVIRA RD
Overland Park, KS 66210
(913) 339-9437
✔ PECOS✔ Accepts MedicareSame address
Jacob Kneeman, M.D.
Pain Management
NPI 1659734101
10995 QUIVIRA RD
Overland Park, KS 66210
(913) 339-9437
✔ PECOS✔ Accepts MedicareSame address
Mahoua Ray, MD
Pain Management
NPI 1568603876
10995 QUIVIRA RD
Overland Park, KS 66210
(913) 339-9437
✔ PECOS✔ Accepts MedicareSame address
Erin Wingert, MD
Anesthesiology
NPI 1730161340
10550 QUIVIRA RD
Overland Park, KS 66215
(913) 428-2900
✔ PECOS✔ Accepts Medicare0.5 mi
Nicholas Vaughan, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487027728
5721 W 119TH ST
Overland Park, KS 66209
(913) 428-2900
✔ PECOS✔ Accepts Medicare4.1 mi
Jay Kraenow, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104893957
9100 W 74TH ST
Shawnee Mission, KS 66204
(913) 676-2679
✔ PECOS✔ Accepts Medicare4.8 mi
Deborah Pelch, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164535126
20375 W 151ST ST SUITE 306
Olathe, KS 66061
(913) 782-2292
✔ PECOS✔ Accepts Medicare7.7 mi
Lawton Hicks, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487913240
3901 RAINBOW BLVD
Kansas City, KS 66160
(913) 588-6670
✔ PECOS✔ Accepts Medicare11 mi
Ian Malburg, MD
Pain Management
NPI 1821384975
1823 COLLEGE AVE
Manhattan, KS 66502
(785) 323-6300
✔ PECOS✔ Accepts Medicare103 mi
Andrea Atkins, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306140579
2 PROGRESS POINT CT
O Fallon, MO 63368
(636) 344-1065
✔ PECOS✔ Accepts Medicare218 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 17D2240785

Kansas Surgery Center, LLC · Overland Park, KS
Active · expires Oct 21, 2027
CLIA Number17D2240785
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorMahoua Ray
Laboratory Phone(913) 339-9437
Laboratory LocationKansas Surgery Center, LLC10995 Quivira Rd, Suite 200, Overland Park, KS 66210
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 11

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 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.
252 services128 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
171 services55 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
106 services58 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
77 services28 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
73 services25 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
46 services34 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 Surgery Center, LLC's NPI number?

The NPI number for Kansas Surgery Center, LLC is 1366117988. It was assigned to this organization in the NPPES registry on August 16, 2021.

Where is Kansas Surgery Center, LLC located?

Kansas Surgery Center, LLC is located at 10995 Quivira Rd Ste 200, Overland Park, KS 66210. The listed phone number is (913) 339-9437.

What is Kansas 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 Surgery Center, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Kansas 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 Certified Registered Nurse Anesthetist (CRNA) (5), Pain Management (5) and Anesthesiology (2). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 17D2240785) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kansas Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City and 1 other insurer list Kansas 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 Surgery Center, LLC was last updated on May 25, 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.