Organization Active NPI

Ku Medwest Ambulatory Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Olathe, KS
National Provider Identifier
1700678430
Registry record updated May 19, 2025
On this page

Key facts

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

Updated by the provider on May 19, 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 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

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
17D2325515Quivira Ambulatory Surgery Center12000 West 151St St, Level 2, Suite 200, Olathe, KS 66062Certificate of waiverJun 12, 2027

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.

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.

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

Verify at the official NPI Registry.