Active NPI
KC Pain ASC, LLC
- Ambulatory Surgical Clinic/Center
- Lees Summit, MO
National Provider Identifier
1487039517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- KC PAIN ASC, LLC
- Doing business as
- Midwest Paint Management Center
- Practice address
- 200 NE Missouri Rd
Suite 100
Lees Summit, MO 64086-4722 - Phone
- (816) 282-5370
- Fax
- (816) 282-5371
- NPI assigned
- Jul 30, 2015
- 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
200 NE Missouri Rd
Suite 100
Lees Summit, MO 64086-4722
Mailing address
200 NE Missouri Rd Ste 100
Lees Summit, MO 64086-4722
Phone (816) 282-5370
Other names 1
- Midwest Paint Management Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151005000512 | MO | Part B Supplier - Ambulatory Surgical Center | 5890003248 | Practice locations: Lees Summit, MO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- KC Pain ASC LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 26D2103952 | KC Pain ASC, LLC | Certificate of waiver | Oct 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lees Summit, MO
- NPI 1285615450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1487039517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MISSOURI RD STE 100",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864722",
"telephone_number": "816-282-5370",
"fax_number": "816-282-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MISSOURI RD",
"address_2": "SUITE 100",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864722",
"telephone_number": "816-282-5370",
"fax_number": "816-282-5371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC PAIN ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-30",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"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": "Midwest Paint Management Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.