Active NPI
Ku Medwest Ambulatory Surgery Center, L.L.C.
- Ambulatory Surgical Clinic/Center
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- KU MEDWEST AMBULATORY SURGERY CENTER, L.L.C.
- Doing business as
- Quivira Ambulatory Surgery Center
- Practice address
- 12000 W 151St St Ste 200
Olathe, KS 66062-7200 - Phone
- (913) 942-5701
- NPI assigned
- May 19, 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 | Primary |
Addresses
Primary practice location
12000 W 151St St Ste 200
Olathe, KS 66062-7200
Mailing address
12000 W 151St St Ste 200
Olathe, KS 66062-7200
Phone (913) 942-5701
Other names 1
- Quivira Ambulatory Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250826000695 | KS | Part B Supplier - Ambulatory Surgical Center | 8224020094 | Practice locations: Olathe, KS |
Ambulatory surgical center certification: CCN 17C0001906
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- QUIVIRA AMBULATORY SURGERY CENTER
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Dec 11, 2025
- Last certification
- Dec 11, 2025
- Facility address
- 12000 West 151St Street, Level 2, Suite 200
Olathe, KS 66062
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1467920389
8224020094
-
- Ambulatory Surgical Clinic/Center
- Shawnee, KS
- NPI 1619971082
8224020094
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 |
|---|---|---|---|
| 17D2325515 | Quivira Ambulatory Surgery Center | Certificate of waiver | Jun 12, 2027 |
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.
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1467920389
-
- Ambulatory Surgical Clinic/Center
- Shawnee, KS
- NPI 1619971082
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Kansas City, KS
- NPI 1457335036
Member Of
Locations
12000 W 151st St
Ste 200
Olathe, KS 66062
Phone (913) 942-5701
10720 Nall Ave
#100
Overland Park, KS 66211
Phone (913) 574-1900
Practitioners & 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
- Kansas City, KS
- NPI 1235232166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1700678430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 W 151ST ST STE 200",
"city": "OLATHE",
"state": "KS",
"postal_code": "660627200",
"telephone_number": "913-942-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 W 151ST ST STE 200",
"city": "OLATHE",
"state": "KS",
"postal_code": "660627200",
"telephone_number": "913-942-5701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KU MEDWEST AMBULATORY SURGERY CENTER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quivira Ambulatory Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.