Organization Active NPI

Mid-America Surgery Institute LLC

Doing business as Blue River Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Kansas City, MO
National Provider Identifier
1710882402
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MID-AMERICA SURGERY INSTITUTE LLC
Doing business as
Blue River Surgery Center
Practice address
1318 E 104TH St
Kansas City, MO 64131-4504
Phone
(816) 256-5200
Fax
(816) 256-5199
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-AMERICA SURGERY INSTITUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 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

1318 E 104TH St
Kansas City, MO 64131-4504

Mailing address

1318 E 104TH St
Kansas City, MO 64131-4504
Phone (816) 256-5200

Other names 1

  • Blue River Surgery Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1710882402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314504",
            "telephone_number": "816-256-5200",
            "fax_number": "816-256-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314504",
            "telephone_number": "816-256-5200",
            "fax_number": "816-256-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA SURGERY INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-AMERICA SURGERY INSTITUTE LLC",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "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": "Blue River Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.