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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: August 16, 2026.

About Kc Surgicenter, Llc NPPES

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

KC SURGICENTER, LLC (NPI 1962277483), doing business as Blue River Surgery Center, is a healthcare organization registered as an ambulatory surgical in Kansas City, Missouri and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1962277483
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKC SURGICENTER, LLC
Location Address1318 E 104TH STREETKansas City, MO 64131
Mailing Address1318 E 104th StKansas City, MO 64131-4504
Phone(816) 256-5200
Fax(816) 256-5199
Organization SubpartNo
Authorized OfficialDavid McknightVp/cfo · (972) 789-2816
Enumeration DateNovember 15, 2023
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1962277483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1318 E 104TH STREET, Kansas City, MO 64131
Open in Google Maps ↗

Other Names 1

Doing Business AsBlue River Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.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 26D2300605

Kc Surgicenter, LLC D/B/A Blue River Surgery Center · Kansas City, MO
Active · expires Mar 12, 2028
CLIA Number26D2300605
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorCameron Tusken
Laboratory Phone(816) 256-5200
Laboratory LocationKc Surgicenter, LLC D/B/A Blue River Surgery Center1318 E 104th Street, Kansas City, MO 64131
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 3

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.
17 services17 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.
13 services13 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.
11 services11 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 Kc Surgicenter, LLC's NPI number?

The NPI number for Kc Surgicenter, LLC is 1962277483. It was assigned to this organization in the NPPES registry on November 15, 2023. The provider is doing business as Blue River Surgery Center.

Where is Kc Surgicenter, LLC located?

Kc Surgicenter, LLC is located at 1318 E 104th Street, Kansas City, MO 64131. The listed phone number is (816) 256-5200.

What is Kc Surgicenter, LLC's specialty?

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

Does Kc Surgicenter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2300605) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kc Surgicenter, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Kc Surgicenter, 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 Kc Surgicenter, LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.