KC SURGICENTER, LLC
NPI 1962277483
Clinic/Center - Ambulatory Surgical in Kansas City, MO

Active since November 15, 2023CLIA 26D2300605 · Waiver
1318 E 104TH STREET, KANSAS CITY, MO 64131(816) 256-5200(816) 256-5199 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 26D2300605
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-12-2028

About KC SURGICENTER, LLC

This page provides the complete NPI Profile along with additional information for Kc Surgicenter, Llc, a provider established in Kansas City, Missouri operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962277483 assigned on November 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is David Mcknight (Vp/cfo)

NPI
1962277483 Verify this NPI
Provider Name
KC SURGICENTER, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
1318 E 104TH STREET KANSAS CITY, MO 64131
Location Phone
(816) 256-5200
Location Fax
(816) 256-5199
Mailing Address
1318 E 104TH ST KANSAS CITY, MO 64131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2023
Last Update Date
06-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue KC Community Silver Preferred-Care Blue EPO - EPO
  • Blue KC First Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Gold Preferred-Care Blue EPO - EPO
  • Blue KC Standard Silver Preferred-Care Blue EPO - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Simple - EPO
  • Silver Classic Standard - EPO
  • Silver Elite Saver Plus - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID MCKNIGHT

Authorized Official Title
VP/CFO
Authorized Official Phone
(972) 789-2816

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 11 times for 11 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 13 times for 13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 17 times for 17 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2300605
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 13, 2026
Certificate Expiration Date
March 12, 2028
Laboratory Director
CAMERON TUSKEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kc Surgicenter, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KC SURGICENTER, LLC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962277483, enumerated as an "organization" on November 15, 2023.

The provider is located at 1318 E 104TH STREET KANSAS CITY, MO 64131 and the phone number is (816) 256-5200.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City and. Please consult your insurance carrier or call the provider to verify.