Organization Active NPI

Comprehensive Pain Treatment LLC

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
National Provider Identifier
1003299181
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
04-29063 Issued in KS
Legal business name
COMPREHENSIVE PAIN TREATMENT LLC
Practice address
10111 E 21St St N
Suite 106
Wichita, KS 67206-3508
Phone
(316) 351-7687
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Robert Jason Ain, MDNPI 1245232842
Title
President
Phone
(316) 371-2827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 04-29063 KS Primary

Addresses

Primary practice location

10111 E 21St St N
Suite 106
Wichita, KS 67206-3508

Mailing address

10111 E 21St St N Ste 106
Wichita, KS 67206-3555
Phone (316) 351-7687

Other identifiers 1

IdentifierTypeStateIssuer
100394170BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151023001943 KS Part B Supplier - Clinic/Group Practice 5193034601 Receives reassigned benefits from 2 practitioners
Practice locations: Kingman, KS; Wichita, KS

National Provider Directory

National Provider Directory

Locations

750 W D Ave
Ste 250
Kingman, KS 67068
Phone (620) 532-3147

10111 E 21st St N
Ste 106
Wichita, KS 67206
Phone (316) 351-7687

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1003299181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 106",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063555",
            "telephone_number": "316-351-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N",
            "address_2": "SUITE 106",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063508",
            "telephone_number": "316-351-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "AIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-371-2827",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-29063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100394170B",
            "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 Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.