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COSMETIC & RECONSTRUCTIVE SURGERY CENTER
NPI 1659327245
Clinic/Center - Ambulatory Surgical in Wichita, KS

Active since May 25, 2006CLIA 17D1055450 · Waiver
1700 N WATERFRONT PKWY, BUILDING 200, WICHITA, KS 67206(316) 681-2227(316) 684-5250 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cosmetic & Reconstructive Surgery Center NPPES

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

COSMETIC & RECONSTRUCTIVE SURGERY CENTER (NPI 1659327245) is a healthcare organization registered as an ambulatory surgical in Wichita, Kansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Matthew Harris Conrad, Physician, as its authorized official.

NPPES Registry Identity

NPI1659327245
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOSMETIC & RECONSTRUCTIVE SURGERY CENTER, PA
Location Address1700 N WATERFRONT PKWY, BUILDING 200Wichita, KS 67206-6614
Mailing Address1700 N Waterfront Pkwy, Building 200Wichita, KS 67206-6614 · (316) 681-2227 · Fax (316) 684-5250
Phone(316) 681-2227
Fax(316) 684-5250
Organization SubpartNo
Authorized OfficialMatthew Harris ConradPhysician · (316) 681-2227
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 11, 2014
✔ NPI 1659327245 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 · 0429556
1700 N WATERFRONT PKWY, Wichita, KS 67206
Open in Google Maps ↗

Other Names 1

Other NameCosmetic & Reconstructive Surgery Center

Other Identifiers 2

Medicare PIN112227KS
Medicare OSCAR/certification112227KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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 17D1055450

Cosmetic & Reconstructive Surgery Center · Wichita, KS
Active · expires Jun 18, 2028
CLIA Number17D1055450
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorMatthew H. Conrad
Laboratory Phone(316) 681-2227
Laboratory LocationCosmetic & Reconstructive Surgery Center1700 Waterfront Pkwy, Bldg 200, Wichita, KS 67206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. BRENDEN CHRISTOPHER MAR D.D.S.
Dentist (General Practice)
1700 N WATERFRONT PKWY, BLDG. 400
WICHITA, KS 67206
Sedgwick County (316) 687-2100
MRS. CYNTHIA MARIE EBERS RNFA
Registered Nurse (Registered Nurse First Assistant)
1700 N WATERFRONT PKWY, BLDG 200
WICHITA, KS 67206
Sedgwick County (316) 681-2227

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 Cosmetic & Reconstructive Surgery Center, PA's NPI number?

The NPI number for Cosmetic & Reconstructive Surgery Center, PA is 1659327245. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is also known as Cosmetic & Reconstructive Surgery Center.

Where is Cosmetic & Reconstructive Surgery Center, PA located?

Cosmetic & Reconstructive Surgery Center, PA is located at 1700 N Waterfront Pkwy Building 200, Wichita, KS 67206. The listed phone number is (316) 681-2227.

What is Cosmetic & Reconstructive Surgery Center, PA's specialty?

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

Does Cosmetic & Reconstructive Surgery Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1055450) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cosmetic & Reconstructive Surgery Center, PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Cosmetic & Reconstructive Surgery Center, PA 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 Cosmetic & Reconstructive Surgery Center, PA was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.