Saint Luke'S Surgicenter - Lee'S Summit

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

154-1 Issued in MO

Legal business name

SAINT LUKE'S SURGICENTER - LEE'S SUMMIT

Practice address

120 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

Phone

(816) 347-5800

Fax

(816) 347-5899

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Larry FrevertNPI 1437178886

Title

Board Member

Phone

(816) 347-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Saint Lukes Surgicenter Lees SummitCCN 26C0001095

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490

  Member Of

  NPD member

Practitioners 2

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

• Larry Frederick Frevert, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lees Summit, MO
  • NPI 1437178886
  NPD Authorized official
• James Sanford McIntosh, M.D.

  • Urology Physician
  • Independence, MO
  • NPI 1083738116
  NPD

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1164486809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7010",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662070010",
            "telephone_number": "913-647-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-347-5800",
            "fax_number": "816-347-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKE'S SURGICENTER - LEE'S SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "FREVERT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "816-347-5800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "154-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadya Sacry, DC
• Mariyam Sadikot
• Brittany Rene Sage
• Saint Luke'S East Hospital
• Saint Luke'S East Hospital
• Saint Lukes East Hospital
• Saint Lukes East Hospital
• Saint Lukes East Hospital
• Jillian Salanski, MS, LPC
• Stephen Salanski, MD

• Ambulatory Surgical Clinic/Center in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.