Organization Active NPI

Ku Medwest Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Shawnee, KS
National Provider Identifier
1619971082
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
S-046-011 Issued in KS
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ku Medwest Ambulatory Surgery Center LLCCCN 17C0001042
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ku Medwest Amb Surg Center Indian Creek3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.