Midamerica Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIDAMERICA SURGERY CENTER

Practice address

1815 Clarkson Rd Ste 103
Chesterfield, MO 63017-5065

Phone

(636) 534-5101

Fax

(636) 534-5059

NPI assigned

Sep 7, 2007

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca James, RN

Title

Administrator

Phone

(636) 534-5101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Midamerica Surgery Center LLCCCN 26C0001130

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay S Pepose, M.D.

  • Specialist
  • Chesterfield, MO
  • NPI 1134111446
  NPD
• Mason F Bias, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1912982794
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1417142084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLARKSON RD STE 103",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-534-5101",
            "fax_number": "636-534-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLARKSON RD STE 103",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175065",
            "telephone_number": "636-534-5101",
            "fax_number": "636-534-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-534-5101",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael V Oliveri
• Michael W. Noble DMD PC (Oral Facial Surgery Institute)
• Bryan J Micklevitz, PHARMD
• Mid West Clinical Practice LLC
• Mid-West Anesthesia Partners, LLC
• Midwest Diagnostic Cardiology, LLC
• Midwest Dizziness and Balance Institute LLC (Midwest Dizziness and Balance Institute)
• Midwest Hand and Wrist Surgery PC
• Midwest Heart Rhythm Incorporated
• Midwest Home Health Rehab,Inc.

• Ambulatory Surgical Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, 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 Oct 6, 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.