Organization Active NPI

Founders Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
National Provider Identifier
1760020846
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FOUNDERS SURGERY CENTER, LLC
Practice address
1961 N Founders Circle
Wichita, KS 67206
Phone
(316) 613-4931
NPI assigned
Dec 19, 2019
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Strecker
Title
Administrator
Phone
(316) 858-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1961 N Founders Circle
Wichita, KS 67206

Mailing address

1961 N Founders Circle
Wichita, KS 67206

Other identifiers 1

IdentifierTypeStateIssuer
200726520HMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040729001097 KS Part B Supplier - Clinic/Group Practice 9335119957 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kingman, KS; Wichita, KS
O20211013000840 KS Part B Supplier - Ambulatory Surgical Center 7214341023 Practice locations: Wichita, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Founders Surgery Center LLCCCN 17C0001897
Medicare certification status
ActiveFrom the Provider of Services file

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
17D2189084Founders Surgery Center LLC1961 N Founders Circle, Wichita, KS 67206Certificate of waiverJul 26, 2028

National Provider Directory

National Provider Directory

Locations

1961 N Founders Cir
Wichita, KS 67206
Phone (316) 274-4931

2610 N Woodlawn Blvd
#M
Wichita, KS 67220
Phone (316) 858-2610

2770 N Webb Rd
Wichita, KS 67226
Phone (316) 630-4230

3243 E Murdock St
Ste 103
Wichita, KS 67208
Phone (316) 268-5593

7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1760020846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 N FOUNDERS CIRCLE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 N FOUNDERS CIRCLE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-613-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDERS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "STRECKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "316-858-4921"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200726520H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.