Organization Active NPI

Surgery Center of Blue Valley, Inc

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
National Provider Identifier
1104993385
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGERY CENTER OF BLUE VALLEY, INC
Practice address
7230 West 129TH Street
Overland Park, KS 66213-2624
Phone
(913) 338-4440
Fax
(913) 338-1712
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David B Laha, DPMNPI 1992783450
Title
Medical Director
Phone
(913) 338-4440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

7230 West 129TH Street
Overland Park, KS 66213-2624

Mailing address

7230 West 129TH Street
Overland Park, KS 66213-2624
Phone (913) 338-4440

Other identifiers 1

IdentifierTypeStateIssuer
91361018OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071218000277 KS Part B Supplier - Ambulatory Surgical Center 5890882401 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgery Center of Blue Valley IncCCN 17C0001077
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1065530Surgery Center of Blue Valley,the7230 West 129TH Street, Overland Park, KS 66213Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207958400000",
    "number": "1104993385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 WEST 129TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132624",
            "telephone_number": "913-338-4440",
            "fax_number": "913-338-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 WEST 129TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132624",
            "telephone_number": "913-338-4440",
            "fax_number": "913-338-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF BLUE VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-04-12",
        "status": "A",
        "authorized_official_last_name": "LAHA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-338-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91361018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.