Kokomo Center for Outpatient Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KOKOMO CENTER FOR OUTPATIENT SURGERY LLC

Doing business as

Sycamore Surgery Center

Practice address

1907 W Sycamore St Ste 110
Kokomo, IN 46901-5148

Phone

(615) 491-0511

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Aaron Legrand, MDNPI 1518039940

Title

Board President

Phone

(765) 860-9072

Specialties & licenses 1

Addresses

Other names 1

• Sycamore Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Kokomo Center for Outpatient Surgery LLC Dba Sycamore Surgery CenterCCN 15C0002011

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Jon Legrand, MD

  • Orthopaedic Surgery Physician
  • Kokomo, IN
  • NPI 1518039940
  NPD (past) Authorized official
• Jonathon E Kivela, MD

  • Anesthesiology Physician
  • Chelsea, MI
  • NPI 1427205905
  NPD (past)

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1790443950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148",
            "telephone_number": "765-210-1411",
            "fax_number": "765-681-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST STE 110",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148",
            "telephone_number": "615-491-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO CENTER FOR OUTPATIENT SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "LEGRAND",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "765-860-9072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kokomo Cab LLC
• Kokomo Chiropractic Care, PC
• Kokomo Chiropractic, PC
• Kokomo Endodontics Inc
• Kokomo Family Dental LLC
• Kokomo Fire Department

• Ambulatory Surgical Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.