Organization Active NPI

KC Pain ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Lees Summit, MO
National Provider Identifier
1487039517
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Sep 8, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 26C0001156
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
26D2103952KC Pain ASC, LLC200 NE Missouri Road, Suite 100, Lees Summit, MO 64086Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.