Active NPI
Founders Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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, 2019
- 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
- Kevin Strecker
- Title
- Administrator
- Phone
- (316) 858-4921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200726520H | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Interventional Pain Medicine Physician
- Wichita, KS
- NPI 1285726323
O20040729001097
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Founders Surgery Center LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 17D2189084 | Founders Surgery Center LLC | Certificate of waiver | Jul 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Wichita, KS
- NPI 1093964736
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.