Active NPI
Lee's Summit Surgicenter, LLC
Doing business as Surgery Center of Lee's Summit
- Ambulatory Surgical Clinic/Center
- Lee's Summit, MO
National Provider Identifier
1396582235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LEE'S SUMMIT SURGICENTER, LLC
- Doing business as
- Surgery Center of Lee's Summit
- Practice address
- 1950 SE Blue Pkwy
Lee's Summit, MO 64063 - Phone
- (999) 999-9999
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1950 SE Blue Pkwy
Lee's Summit, MO 64063
Mailing address
1950 SE Blue Pkwy
Lees Summit, MO 64063-1052
Other names 1
- Surgery Center of Lee's Summit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241113000919 | MO | Part B Supplier - Ambulatory Surgical Center | 7810421856 | Practice locations: Lees Summit, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2314336 | Lee's Summit Surgicenter, LLC | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
1950 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 272-2370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1396582235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 SE BLUE PKWY",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640631052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SE BLUE PKWY",
"city": "LEE'S SUMMIT",
"state": "MO",
"postal_code": "64063",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE'S SUMMIT SURGICENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgery Center of Lee's Summit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lee's Summit, MO
- Lee's Summit Family Care LLC
- Lee's Summit Physicians Group - Internal Medicine LLC
- Lee's Summit Physicians Group Urgent Care
- Lee's Summit R-7 School District
- Lee's Summit School District R-7
- Lees Summit Center for Womens Wellness, LLC
- Lees Summit Clinic Inc
- Lees Summit Counseling Services LLC
- Lees Summit Family Chiropractic PC
- Lees Summit Health Care LLC (Lees Summit Pointe Health & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.