Mayank Gupta, MD (MBBS)

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

04-34978 Issued in KS

Practice address

10995 Quivira Rd
Overland Park, KS 66210

Phone

(913) 339-9437

Fax

(913) 339-9538

NPI assigned

Oct 4, 2006

Last updated

Feb 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Pain ManagementGroup PAC ID 0143125575, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1104929546

  MO, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Kansas Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1366117988
  Medicare reassignment NPD Authorized official
• Adventhealth Ransom Memorial, Inc.

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1407319957

  Single Specialty

  Medicare reassignment NPD
• Adventhealth Ransom Memorial, Inc.

  • Rural Health Clinic/Center
  • Ottawa, KS
  • NPI 1558824805
  NPD
• Kansas Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Roeland Park, KS
  • NPI 1881347276

  Single Specialty

  NPD
• Kansas Anesthesiology Professionals PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1588142723

  Single Specialty

  NPD (past)
• Prime Healthcare Services - Leavenworth Surgery Center, LLC

  dba Saint John Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Leavenworth, KS
  • NPI 1124489083
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1023104445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311150",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "373 W 101st Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144408",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Biltmore Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660491995",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485071",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660483235",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Main St",
            "address_2": "Ransom Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "66067",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MAYANK",
        "credential": "MD (MBBS)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2011008002",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "04-34978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200736970A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirin Moshiri Gulledge, D.C.
• Natalie R Gulley, PT
• Casey Gum, MA, LCPC, NCC
• Jessica Nicole Gunkel, LMFT
• Nicolle Marie Gunter, M.D.
• Neel Kamal Gupta, O.D.
• Daniel J Gurley, M.D.
• Joel T Gustafson, LPC., LCMFT
• Lindsay Gustafson, RN, IBCLC
• Lynsey N Gustafson, PHARMD

• Pain Medicine (Anesthesiology) Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pain Medicine (Anesthesiology) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.