South Kansas City Surgical Center, Lc
NPI 1114924685 · Ambulatory Surgical Clinic/Center · Overland Park, KS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Kansas City Surgical Center, Lc is a Ambulatory Surgical Clinic/Center organization in Overland Park, KS (NPI 1114924685).
Provider details
- NPI number
- 1114924685
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christine Blackburn, Administrator(913) 901-9000
- License
- S046019 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
21 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
311 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Nasal Air Passage Under Lining Tissue30140 | 80 | $651 |
| Removal of Nasal Sinus Tissue Using an Endoscope31267 | 65 | $1,250 |
| Exploration of Nasal Sinus Using an Endoscope31276 | 45 | $1,637 |
| Removal of Excessive Skin and Fat of Upper Eyelid15823 | 42 | $668 |
| Reshaping of Nasal Cartilage30520 | 30 | $775 |
| Repair of Tendon of Upper Eyelid67904 | 26 | $726 |
| Removal of Tissue From Sphenoid Sinus Using an Endoscope |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Kansas City Surgicenter
- Doing business as
- South Kansas City Surgicenter
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2021-07-30
- Certified
- 2021-07-30
Frequently asked questions
- What is South Kansas City Surgical Center, Lc's NPI number?
- South Kansas City Surgical Center, Lc's National Provider Identifier (NPI) is 1114924685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Kansas City Surgical Center, Lc?
- South Kansas City Surgical Center, Lc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Kansas City Surgical Center, Lc located?
- South Kansas City Surgical Center, Lc's practice location on file with NPPES is 10730 Nall Ave, Overland Park, KS 66211-1206.
- What is South Kansas City Surgical Center, Lc's phone number?
- The practice phone number listed in the NPPES registry for South Kansas City Surgical Center, Lc is (913) 901-9000.
- Does South Kansas City Surgical Center, Lc accept Medicare?
- South Kansas City Surgical Center, Lc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Kansas City Surgical Center, Lc?
- The authorized official listed on South Kansas City Surgical Center, Lc's NPPES record is Christine Blackburn, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Kansas City Surgical Center, Lc's NPI active?
- Yes — South Kansas City Surgical Center, Lc's NPI (1114924685) is active in the NPPES registry as of the last update on 2021-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.