Active NPI
Ku Medwest Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Shawnee, KS
National Provider Identifier
1619971082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- S-046-011
- Legal business name
- KU MEDWEST AMBULATORY SURGERY CENTER, LLC
- Practice address
- 7405 Renner Rd
Shawnee, KS 66217-9414 - Phone
- (913) 588-8411
- Fax
- (913) 588-8432
- NPI assigned
- Jun 13, 2005
- Last updated
- May 21, 2025
- 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
- Stephanie Jasnoski
- Title
- Director of ASC Operations
- Phone
- (913) 574-1794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | S-046-011 | KS | Primary |
Addresses
Primary practice location
7405 Renner Rd
Shawnee, KS 66217-9414
Mailing address
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401000237 | KS | Part B Supplier - Ambulatory Surgical Center | 8224020094 | Practice locations: Shawnee, KS |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Quivira Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Olathe, KS
- NPI 1700678430
8224020094
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1467920389
8224020094
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ku Medwest Ambulatory Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Ku Medwest Amb Surg Center Indian Creek
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Quivira Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Olathe, KS
- NPI 1700678430
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1467920389
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1619971082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7405 RENNER RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179414",
"telephone_number": "913-588-8411",
"fax_number": "913-588-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7405 RENNER RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179414",
"telephone_number": "913-588-8411",
"fax_number": "913-588-8432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KU MEDWEST AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "JASNOSKI",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "DIRECTOR OF ASC OPERATIONS",
"authorized_official_telephone_number": "913-574-1794"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "KS",
"license": "S-046-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.