SAINT LUKE'S SURGICENTER - LEE'S SUMMIT NPI 1164486809

NPI Information

  • NPI: 1164486809
  • Provider Name: SAINT LUKE'S SURGICENTER - LEE'S SUMMIT
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 26D1091647
  • Address: 120 NE SAINT LUKES BLVD
    LEES SUMMIT, MO
    ZIP 64086
  • Phone: (816) 347-5800

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NPI Details

SAINT LUKE'S SURGICENTER - LEE'S SUMMIT is an ambulatory surgical clinic center in Lees Summit, MO. SAINT LUKE'S SURGICENTER - LEE'S SUMMIT NPI is 1164486809. The provider is registered as an organization entity type.

The provider's business location address is:

120 NE SAINT LUKES BLVD
LEES SUMMIT, MO
ZIP 64086-000
Phone: (816) 347-5800
Fax: (816) 347-5899

The provider's authorized official is Larry Frevert .
The authorized official title is Board Member and has the following contact phone number (816) 347-5800.

The CLIA number assigned to this NPI record is 26D1091647 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Dilation of esophagus (HCPCS:43450)
  • Removal of excessive skin of upper eyelid (HCPCS:15822)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Correction of toe joint deformity (HCPCS:28285)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Removal of deep implant from bone (HCPCS:20680)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Complete laser vaporization of prostate including control of bleeding using an endoscope (HCPCS:52648)
  • Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS:52351)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Correction of bunion with 2 areas of realignment (HCPCS:28299)
  • Removal or manipulation of stone in ureter or kidney using an endoscope (HCPCS:52352)

The enumeration date for this NPI number is 4/12/2006 and was last updated on 5/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical154-1MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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